# ROBERT SHIEPE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BOBS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356456701
- **Authorized official:** BOB SHIEPE RPH (PHARMACIST IN CHARGE)
- **Authorized official phone:** (310) 838-7292

## Contact information

- **Practice address:** 6136 VENICE BLVD, STE 100, LOS ANGELES, CA 90034-2221
- **Practice address phone:** (310) 838-7292
- **Practice address fax:** (310) 838-7293
- **Mailing address:** 6136 VENICE BLVD, STE 100, LOS ANGELES, CA 90034-2221
- **Mailing address phone:** (310) 838-7292
- **Mailing address fax:** (310) 838-7293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHY34107 | CA | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 06/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0589082 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | PHA341070 | — | CA |