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NPI Code Detail

MEDICARE: MR. ROBERT EDWARD LOE RPH

MEDICARE: MR. ROBERT EDWARD LOE RPH
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
1183500000XPharmacist23095TX

General Provider Information

NPI Number : 1497083299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT EDWARD LOE RPH
Provider Business Mailing Address
First Line : 4520 WESTERN CENTER BLVD
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-2635
Country : US
Telephone Number : 817-514-8063
Fax Number :
Provider Business Practice Location Address
First Line : 4520 WESTERN CENTER BLVD
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-2635
Country : US
Telephone Number : 817-514-8063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2009
Last Update Date : 12/07/2009

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Directions to “ MR. ROBERT EDWARD LOE RPH” Practice Location

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