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NPI Code Detail

MEDICARE: MR. ROBERT STEPHEN LIPP PHARM D.

MEDICARE: MR. ROBERT STEPHEN LIPP PHARM D.
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
1183500000XPharmacistRPH32284CA
21835P1200XPharmacotherapy PharmacistRPH32284CA

General Provider Information

NPI Number : 1801141528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT STEPHEN LIPP PHARM D.
Provider Business Mailing Address
First Line : 9332 CRYSTAL VIEW DR
Second Line :
City : TUJUNGA
State : CA
Zip : 91042-3209
Country : US
Telephone Number : 818-353-6973
Fax Number : 818-247-8593
Provider Business Practice Location Address
First Line : 1400 W KENNETH RD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-1422
Country : US
Telephone Number : 818-242-4195
Fax Number : 818-247-8593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 07/18/2012

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