Provider Demographics
NPI:1992802458
Name:LOVE, ROBERT STEPHEN (RPHT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:STEPHEN
Last Name:LOVE
Suffix:
Gender:M
Credentials:RPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8852 ESCAMBIA AVENUE
Mailing Address - Street 2:
Mailing Address - City:ELBERTA
Mailing Address - State:AL
Mailing Address - Zip Code:36530
Mailing Address - Country:US
Mailing Address - Phone:251-961-7901
Mailing Address - Fax:251-962-3779
Practice Address - Street 1:12831 6TH STREET
Practice Address - Street 2:
Practice Address - City:LILLIAN
Practice Address - State:AL
Practice Address - Zip Code:36549
Practice Address - Country:US
Practice Address - Phone:251-962-3777
Practice Address - Fax:251-962-3779
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7670183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist