Mr Robert L Spivack, RPH | |
5 Cedarwood Ter, Woodland Park, NJ 07424-3708 | |
(718) 399-6239 | |
Not Available |
Full Name | Mr Robert L Spivack |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 5 Cedarwood Ter, Woodland Park, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497923379 | NPI | - | NPPES |
036248 | Other | NY | STATE LICENSE NUMBER |
28RI01962500 | Other | NJ | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 036248 (New York) | Primary |
183500000X | Pharmacist | 28RI01962500 (New Jersey) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Robert L Spivack, RPH 5 Cedarwood Ter, Woodland Park, NJ 07424-3708 Ph: () - | Mr Robert L Spivack, RPH 5 Cedarwood Ter, Woodland Park, NJ 07424-3708 Ph: (718) 399-6239 |
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