Robertson, Richard Byron
Robertson, Richard Byron is an individual health care provider with primary practice located at 2330 Nez Perce Dr , Lewiston ID 83501-4107. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Robertson, Richard Byron can be contacted via phone (208) 798-0481.Contact Information
Primary practice address
2330 Nez Perce Dr
Lewiston ID 83501-4107
Phone: (208) 798-0481
Fax: (208) 798-0715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P-4526 | Idaho |
| Pharmacy Service Providers / Pharmacist | 183500000X | PH 00009240 | Washington |
Profile Details
| NPI number | 1124329651 |
|---|---|
| LBN Legal business name | Robertson, Richard Byron |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2010 |
| Last updated | Nov 15th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124329651 | NPPES |
| Idaho | Other | P-4526 | IDAHO PHARMACIST LICENSE |
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