MEDICARE: ROBERT MICHAEL RAPER

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	11214	NC

General Provider Information

NPI Number	:	1427148717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT MICHAEL RAPER

Provider Business Mailing Address
First Line	:	115 MOSSBURG DR
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27530-9039
Country	:	US
Telephone Number	:	919-731-3802
Fax Number	:	919-735-6309

Provider Business Practice Location Address
First Line	:	2303 WAYNE MEMORIAL DR
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-1725
Country	:	US
Telephone Number	:	919-734-0741
Fax Number	:	919-735-6309

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

Provider Enumeration Date	:	10/15/2006
Last Update Date	:	07/08/2007

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