Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
ROBERT M SELF
Active
Individual
ROBERT M SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
019210
LA
183500000X
Pharmacist
051297704
IL
183500000X
Pharmacist
11529
AL
183500000X
Pharmacist
15809
GA
183500000X
Pharmacist
Primary
34102
TN
183500000X
Pharmacist
46605
TX
183500000X
Pharmacist
9841
MS
Other
Enumeration date
04/17/2018
Last updated
06/04/2019
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