Provider Demographics
NPI:1548350937
Name:IRBY, ROBERT LEROY (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEROY
Last Name:IRBY
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 1:34 HICKORY FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2669
Mailing Address - Country:US
Mailing Address - Phone:843-689-5991
Mailing Address - Fax:
Practice Address - Street 1:522 STINEY RD
Practice Address - Street 2:
Practice Address - City:HARDEEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29927
Practice Address - Country:US
Practice Address - Phone:843-784-2181
Practice Address - Fax:843-784-6112
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC009969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist