Provider Demographics
NPI:1396044590
Name:DUNCAN, ROBERT B (PHARMD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:B
Last Name:DUNCAN
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 1:3805 MACCORKLE AVE SE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1527
Mailing Address - Country:US
Mailing Address - Phone:304-550-5489
Mailing Address - Fax:304-926-6591
Practice Address - Street 1:3805 MACCORKLE AVE SE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1527
Practice Address - Country:US
Practice Address - Phone:304-550-5489
Practice Address - Fax:304-926-6591
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0006781183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist