Individual
ROBERT M KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH., M.S.
Contact information
Practice address
2244 VANESSA DR, BIRMINGHAM, AL 35242-4430
(205) 991-0462
(205) 991-0462
Mailing address
2244 VANESSA DR, BIRMINGHAM, AL 35242-4430
(205) 991-0462
(205) 991-0462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10637
MS
183500000X
Pharmacist
2987
HI
183500000X
Pharmacist
33380
TN
183500000X
Pharmacist
4434
SC
183500000X
Pharmacist
48107
TX
183500000X
Pharmacist
Primary
7815
AL
Other
Enumeration date
10/10/2005
Last updated
02/18/2010
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