Provider Demographics
NPI:1326361429
Name:LAYNE, ROBERT T (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:T
Last Name:LAYNE
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 1:5432 GLENSIDE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-3915
Mailing Address - Country:US
Mailing Address - Phone:804-672-3570
Mailing Address - Fax:804-672-3380
Practice Address - Street 1:5432 GLENSIDE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-3915
Practice Address - Country:US
Practice Address - Phone:804-672-3570
Practice Address - Fax:804-627-3380
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202004980183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist