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NPI Code Detail

MEDICARE: ROBERTSON DRUG CO INC

MEDICARE: ROBERTSON DRUG CO INC
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
13336L0003XLong Term Care Pharmacy
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy0201000723VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12102677OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255413035
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERTSON DRUG CO INC
Provider Business Mailing Address
First Line : 6109 FORT AVE
Second Line :
City : LYNCHBURG
State : VA
Zip : 24502-1933
Country : US
Telephone Number : 434-239-2621
Fax Number : 434-239-3050
Provider Business Practice Location Address
First Line : 6109 FORT AVE
Second Line :
City : LYNCHBURG
State : VA
Zip : 24502-1933
Country : US
Telephone Number : 434-239-2621
Fax Number : 434-239-3050
Authorized Official
Title or Position : PRES
Name : MICHAEL ROBERTSON
Credential : RPH
Telephone Number : 434-239-2621
Provider Enumeration Date : 10/20/2006
Last Update Date : 04/30/2013

Similar Medicare Providers

1467545939 — MR. MICHAEL STEPHEN ROBERTSON RPH.
Practice Location Address:
6109 FORT AVE
LYNCHBURG, VA
24502-1933
Practice Phone: 434-239-2621
Practice Fax: 434-239-3050
1306501770 — MICHAEL ERIC ROBBINS RBT
Practice Location Address:
1933 THOMSON DR
LYNCHBURG, VA
24501-1008
Practice Phone: 434-616-6762
Practice Fax:
1578580320 — DR. OCTAVIO DEMARCHENA
Practice Location Address:
1933 THOMSON DR
LYNCHBURG, VA
24501-1008
Practice Phone: 434-947-3928
Practice Fax: 434-947-3982
1972520476 — DR. CHARLES R JOSEPH
Practice Location Address:
1933 THOMSON DR
LYNCHBURG, VA
24501-1008
Practice Phone: 434-947-3928
Practice Fax: 434-947-3982
1770504342 — DR. WILLIAM MILES WALLACE
Practice Location Address:
1933 THOMSON DR
LYNCHBURG, VA
24501-1008
Practice Phone: 434-947-3928
Practice Fax: 434-947-3982
1285649673 — DR. PETER L. KONIECZNY M.D.
Practice Location Address:
1933 THOMSON DR
LYNCHBURG, VA
24501-1008
Practice Phone: 434-947-3928
Practice Fax: 434-947-3982

Directions to “ROBERTSON DRUG CO INC ” Practice Location

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