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NPI Code Detail

MEDICARE: ANDREW ROBERTS PHARMD

MEDICARE: ANDREW ROBERTS PHARMD
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
1183500000XPharmacist21986NC

General Provider Information

NPI Number : 1164824595
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW ROBERTS PHARMD
Provider Business Mailing Address
First Line : 5450 NEW HOPE COMMONS DR
Second Line :
City : DURHAM
State : NC
Zip : 27707-9716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5450 NEW HOPE COMMONS DR
Second Line :
City : DURHAM
State : NC
Zip : 27707-9716
Country : US
Telephone Number : 919-489-4420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2014
Last Update Date : 09/17/2014

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