MEDICARE: ROBERT L BALDWIN CPHT

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
1	183700000X	Pharmacy Technician	290101040752345	OH

General Provider Information

NPI Number	:	1245563113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT L BALDWIN CPHT

Provider Business Mailing Address
First Line	:	1028 RUMSEY RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-3933
Country	:	US
Telephone Number	:	206-333-0634
Fax Number	:	206-333-0634

Provider Business Practice Location Address
First Line	:	1028 RUMSEY RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-3933
Country	:	US
Telephone Number	:	206-333-0634
Fax Number	:	206-333-0634

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2009
Last Update Date	:	09/10/2009

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