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NPI Code Detail

MEDICARE: ROBERT B KALTSOUNIS RPH

MEDICARE:   ROBERT B KALTSOUNIS  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202205108VA

General Provider Information

NPI Number : 1083724678
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT B KALTSOUNIS RPH
Provider Business Mailing Address
First Line : 3629 MILBURY RUN ST
Second Line :
City : RICHMOND
State : VA
Zip : 23233-7670
Country : US
Telephone Number : 804-364-4730
Fax Number : 804-364-2622
Provider Business Practice Location Address
First Line : 1905 WILLOW LAWN DR
Second Line :
City : RICHMOND
State : VA
Zip : 23230
Country : US
Telephone Number : 804-282-5421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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Directions to “ ROBERT B KALTSOUNIS RPH” Practice Location

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