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NPI Code Detail

MEDICARE: ROBERT O. SCHMOLL JR. R.PH.

MEDICARE: ROBERT O. SCHMOLL JR. 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
1183500000XPharmacist03-1-10111OH

General Provider Information

NPI Number : 1407857014
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT O. SCHMOLL JR. R.PH.
Provider Business Mailing Address
First Line : 2960 GARNERS FORD RD
Second Line :
City : THURMAN
State : OH
Zip : 45685-9300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 JACKSON PIKE
Second Line :
City : GALLIPOLIS
State : OH
Zip : 45631-1560
Country : US
Telephone Number : 740-441-8071
Fax Number : 740-441-8072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2005
Last Update Date : 07/08/2007

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