MEDICARE: ROBBIE SEARS 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	PS31572	FL

General Provider Information

NPI Number	:	1700247996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBBIE SEARS RPH

Provider Business Mailing Address
First Line	:	7867 CHASE MEADOWS DR E
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-4642
Country	:	US
Telephone Number	:	904-891-8999
Fax Number	:

Provider Business Practice Location Address
First Line	:	3986 BOULEVARD CENTER DR STE 1
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-2819
Country	:	US
Telephone Number	:	904-398-1983
Fax Number	:

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

Provider Enumeration Date	:	03/15/2016
Last Update Date	:	03/15/2016

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