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General NPI Number Information
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NPI Number | 1255413035
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Entity Type | Organization
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Legal Business Name | ROBERTSON DRUG CO INC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 6109 FORT AVE
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City | LYNCHBURG
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State | VA
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Zip | 24502-1933
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Country | US
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Telephone | 434-239-2621
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Fax | 434-239-3050
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Provider Business Mailing Address
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Address Line | 6109 FORT AVE
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City | LYNCHBURG
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State | VA
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Zip | 24502-1933
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Country | US
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Telephone | 434-239-2621
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Fax | 434-239-3050
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Authorized Official
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Title or Position | PRES
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Name | MICHAEL ROBERTSON
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Credential | RPH
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Telephone | 434-239-2621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201000723
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License Number State | VA
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