Individual
ROBERT ECKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
504 N. DIVISION ST, PINEHURST, ID 83850
(208) 682-3920
(208) 682-3939
Mailing address
PO BOX 400, PINEHURST, ID 83850-0400
(208) 682-3920
(208) 682-3939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
CS10374
ID
183500000X
Pharmacist
Primary
P5801
ID
183500000X
Pharmacist
PH 00055425
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS10374
PHARMACIST CONTROLLED SUBSTANCE LICENSE
ID
01
—
P5801
IDAHO PHARMACIST LICENSE
ID
01
—
PH 00055425
WASHINGTON PHARMACIST LICENSE
WA
Enumeration date
04/11/2013
Last updated
04/11/2013
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