MEDICARE: MR. ROBERT LITTLETON 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
1	183500000X	Pharmacist	PS0020577	FL

General Provider Information

NPI Number	:	1558429548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT LITTLETON RPH

Provider Business Mailing Address
First Line	:	1431 SEAHOUSE ST
Second Line	:
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-6041
Country	:	US
Telephone Number	:	772-581-0444
Fax Number	:	772-581-0444

Provider Business Practice Location Address
First Line	:	7746 BAY ST
Second Line	:
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3427
Country	:	US
Telephone Number	:	772-589-2043
Fax Number	:	772-388-2628

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/08/2007

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