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Individual
MR. ROBERT L SPIVACK
Active
Individual
MR. ROBERT L SPIVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
036248
NY
183500000X
Pharmacist
28RI01962500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036248
STATE LICENSE NUMBER
NY
01
—
28RI01962500
STATE LICENSE NUMBER
NJ
Enumeration date
02/13/2008
Last updated
03/18/2025
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