MR. Richard Byron Robertson, R.PH.

NPI #1124329651 in Lewiston, Idaho

Provider Information

NPI Number: 1124329651
Entity Type: Individual
Name: MR. Richard Byron Robertson, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Nov 15, 2010
Last Updated: Nov 15, 2010

Practice Location

Address: 2330 NEZ PERCE DR
City: Lewiston
State: Idaho
ZIP Code: 83501-4107
Phone: (208) 798-0481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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