Provider Demographics
NPI:1033274725
Name:SYKES, ROBERT NATHAN JR (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:NATHAN
Last Name:SYKES
Suffix:JR
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 345
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-0345
Mailing Address - Country:US
Mailing Address - Phone:252-482-9991
Mailing Address - Fax:252-482-9991
Practice Address - Street 1:237 HICKORY FORK RD
Practice Address - Street 2:
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-9566
Practice Address - Country:US
Practice Address - Phone:252-482-9991
Practice Address - Fax:252-482-9991
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-25
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5216183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5216OtherPHARMACIST LICENSE