Provider Demographics
NPI:1366828360
Name:SIKES, ROBERT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:SIKES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 W WISCONSIN AVE
Mailing Address - Street 2:SUITE 42
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913-8605
Mailing Address - Country:US
Mailing Address - Phone:920-243-7877
Mailing Address - Fax:
Practice Address - Street 1:4301 W WISCONSIN AVE
Practice Address - Street 2:SUITE 42
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-8605
Practice Address - Country:US
Practice Address - Phone:920-243-7877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18105-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist