MEDICARE: ROBERT T CECIL ENTERPRISES INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHRE006880	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1108617	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1548325939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT T CECIL ENTERPRISES INC

Provider Business Mailing Address
First Line	:	PO BOX 739
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-0013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	318 MAIN ST
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-4266
Country	:	US
Telephone Number	:	770-445-2148
Fax Number	:	678-363-9542

Authorized Official
Title or Position	:	OWNER AND PHARMACIST
Name	:	ROBERT CECIL
Credential	:	RPH
Telephone Number	:	777-445-2148

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	05/06/2009

Similar Medicare Providers

1568466035 — DALLAS FAMILY PRACTICE CENTER PA
Practice Location Address:

318 MAIN ST , STE B
DALLAS, GA
30132-4266

Practice Phone: 770-445-1095
Practice Fax: 770-445-5361

1396608279 — HEIDI CARLEY APRN, FNP-BC
Practice Location Address:

373 DALLAS DR
TOMS RIVER, NJ
08753-4266

Practice Phone: 973-986-7840
Practice Fax:

1225180979 — DR. MARTIN KASSIR M.D.
Practice Location Address:

8335 WALNUT HILL LN STE 140
DALLAS, TX
75231-4266

Practice Phone: 214-360-1500
Practice Fax:

1699639237 — OASIS HOSPICE & PALLIATIVE CARE LLC
Practice Location Address:

280 MERCHANTS SQ RM A
DALLAS, GA
30132-5029

Practice Phone: 404-996-7622
Practice Fax:

1225990757 — LAKENYA ELAINE PACE
Practice Location Address:

296 MERCHANTS SQ
DALLAS, GA
30132-5029

Practice Phone: 470-391-2300
Practice Fax:

1528055027 — DR. ANANTHA N. KAMATH M.D.
Practice Location Address:

280 MERCHANTS SQ
DALLAS, GA
30132-5029

Practice Phone: 678-813-2741
Practice Fax: 770-575-3912

Directions to “ROBERT T CECIL ENTERPRISES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.