Provider Demographics
NPI:1104071620
Name:SCHREIBER, ROBERT STEVEN (RPH)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:STEVEN
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 N PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-1110
Mailing Address - Country:US
Mailing Address - Phone:215-295-5585
Mailing Address - Fax:215-295-7128
Practice Address - Street 1:82 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-1110
Practice Address - Country:US
Practice Address - Phone:215-295-5585
Practice Address - Fax:215-295-7128
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP027004L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP027004LOtherPA STATE PHARMACIST LICENSE