MEDICARE: DR. ROBERT LEE MARX JR. 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
1	183500000X	Pharmacist	RPH020499	GA
2	183500000X	Pharmacist	PS40867	FL

General Provider Information

NPI Number	:	1811195589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT LEE MARX JR. PHARM.D.

Provider Business Mailing Address
First Line	:	2552 CREWS LAKE HILLS LOOP N
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-3861
Country	:	US
Telephone Number	:	615-970-2773
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 GRIFFIN RD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33810-6760
Country	:	US
Telephone Number	:	615-970-2773
Fax Number	:

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

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	03/17/2018

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