Provider Demographics
NPI:1235669375
Name:CHAMBERS, ROBERT M (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:M
Last Name:CHAMBERS
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 1:27520 US HIGHWAY 98
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4812
Mailing Address - Country:US
Mailing Address - Phone:251-626-5863
Mailing Address - Fax:251-626-5890
Practice Address - Street 1:27520 US HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4812
Practice Address - Country:US
Practice Address - Phone:251-626-5863
Practice Address - Fax:251-626-5890
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15175183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist