Provider Demographics
NPI:1851609846
Name:BURNEY, ROBERT L (RPH)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:BURNEY
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 1:6840 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-7133
Mailing Address - Country:US
Mailing Address - Phone:919-781-8604
Mailing Address - Fax:919-781-5284
Practice Address - Street 1:6840 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-7133
Practice Address - Country:US
Practice Address - Phone:919-781-8604
Practice Address - Fax:919-781-5284
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7419183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist