NPI 1003004110

Robert Sproul, PHARMD

Practitioner Pharmacist Orlando, FL

Practice location

Address: 5201 Raymond St, Orlando, FL 32803-8208
Phone: (407) 629-1599
Mailing address: 10505 Fox Central, Polk City, FL 33868-9478

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PS 41657 (FL)

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Registry record

NPI: 1003004110
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Oct 2007
Record last updated: 15 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.