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NPI Code Detail

MEDICARE: JAMES E ROBERTS R.PH.

MEDICARE: JAMES E ROBERTS R.PH.
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
1183500000XPharmacist3696WV

General Provider Information

NPI Number : 1346532058
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES E ROBERTS R.PH.
Provider Business Mailing Address
First Line : 5870 WEBSTER RD
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-9105
Country : US
Telephone Number : 304-872-4394
Fax Number : 304-872-5783
Provider Business Practice Location Address
First Line : 5870 WEBSTER RD
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-9105
Country : US
Telephone Number : 304-872-4394
Fax Number : 304-872-5783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2011
Last Update Date : 05/12/2011

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