MEDICARE: ROBERT VI SEMUS 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
1	183500000X	Pharmacist	0202215953	VA

General Provider Information

NPI Number	:	1265955660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT VI SEMUS PHARMD

Provider Business Mailing Address
First Line	:	1200 SEMMES AVE APT 218
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23224-2181
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 E HUNDRED RD
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-2613
Country	:	US
Telephone Number	:	804-530-1172
Fax Number	:

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

Provider Enumeration Date	:	07/18/2017
Last Update Date	:	07/18/2017

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