Provider Demographics
NPI:1487782686
Name:BREIG, ROBERT D (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:D
Last Name:BREIG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:16 NARROW GAUGE LN
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03901-2371
Mailing Address - Country:US
Mailing Address - Phone:207-698-4721
Mailing Address - Fax:603-692-9932
Practice Address - Street 1:8 SOMERSWORTH PLZ
Practice Address - Street 2:
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-3225
Practice Address - Country:US
Practice Address - Phone:603-692-3227
Practice Address - Fax:603-692-9932
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2039183500000X
MEPR4273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist