NPI 1124329651

Richard Byron Robertson, RPH

Practitioner Pharmacist Lewiston, ID

Practice location

Address: 2330 Nez Perce Dr, Lewiston, ID 83501-4107
Phone: (208) 798-0481
Fax: (208) 798-0715

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P-4526 (ID)

Other Pharmacist providers in Idaho →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence PH 00009240 (WA)

Registry record

NPI: 1124329651
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2010
Record last updated: 15 Nov 2010

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.