Brian J Roberts Md in Myrtle Beach - Non-pharmacy Dispensing Site

Brian J Roberts Md - NPI 1225199094

Brian J Roberts Md is a Non-pharmacy Dispensing Site in Myrtle Beach, South Carolina. Brian J Roberts Md practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Brian J Roberts Md is 1225199094. The last update date is 2020-08-22.

Brian J Roberts Md's current location address is 823 82nd Pkwy, Myrtle Beach, South Carolina. You can contact this provider via phone number 8434491010 and fax number 8434976171. The mailing address for Brian J Roberts Md is 823 82nd Pkwy, Myrtle Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brian J Roberts Md
Address 823 82nd Pkwy, Myrtle Beach, South Carolina
Phone Number 8434491010
Fax Number 8434976171
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXEC DIR
Authorized Official Name Richardson Chris
Telephone Number 8434491010

NPI Number Detail

NPI Number 1225199094
Provider Enumeration Date 2006-12-13
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 823 82nd Pkwy
City Myrtle Beach
State South Carolina (SC)
Post Code 295724607
Phone Number 8434491010
Fax Number 8434976171

Provider's Primary Taxonomy Detail

Speciality Non-pharmacy Dispensing Site
Taxonomy 332900000X
Licence No 20257
Definition:
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GP1418 SC --
4226216 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Brian J Roberts Md

What is the unique 10-digit identification code issued to Brian J Roberts Md by the Centers for Medicare & Medicaid Services?

The Brian J Roberts Md has been assigned the NPI (National Provider Identifier) 1225199094 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Brian J Roberts Md is physically located?

The Brian J Roberts Md is situated at the following address: 823 82Nd Pkwy, Myrtle Beach, SC 295724607.

What is the Brian J Roberts Md's specialty and taxonomy code?

The Brian J Roberts Md's specialty is Non-pharmacy Dispensing Site, and the corresponding taxonomy code is 332900000X.

On what date was the 1225199094 assigned to Brian J Roberts Md?

The Brian J Roberts Md was issued its 1225199094 on 2006-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Brian J Roberts Md's details last updated?

The information pertaining to the Brian J Roberts Md, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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