Provider Demographics
NPI:1154406833
Name:STOKES, ROBERT PHILLIP (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:PHILLIP
Last Name:STOKES
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 1:3485 SUMMIT TRAIL
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6695
Mailing Address - Country:US
Mailing Address - Phone:770-781-9015
Mailing Address - Fax:
Practice Address - Street 1:3485 SUMMIT TRAIL
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6695
Practice Address - Country:US
Practice Address - Phone:770-781-9015
Practice Address - Fax:678-455-6235
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA009204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist