Provider Demographics
NPI:1154492809
Name:NEWMEYER, ROBERT W (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:W
Last Name:NEWMEYER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:720 BAY SIDE LANE
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326
Mailing Address - Country:US
Mailing Address - Phone:954-389-3484
Mailing Address - Fax:954-457-7164
Practice Address - Street 1:2500 E HALLANDALE BCH BLVD
Practice Address - Street 2:BUDGET DRVGS
Practice Address - City:HALLANDALE
Practice Address - State:FL
Practice Address - Zip Code:33009
Practice Address - Country:US
Practice Address - Phone:954-457-8011
Practice Address - Fax:954-457-7164
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS17640183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist