Provider Demographics
NPI:1215187109
Name:SPERA, ROBERT FRANK (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FRANK
Last Name:SPERA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 PARKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-1741
Mailing Address - Country:US
Mailing Address - Phone:610-565-3383
Mailing Address - Fax:
Practice Address - Street 1:832 N LANSDOWNE AVE
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-1526
Practice Address - Country:US
Practice Address - Phone:610-449-7188
Practice Address - Fax:610-446-1671
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035734L183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist