Provider Demographics
NPI:1497069272
Name:MARCINKO, ROBERT JOSEPH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:MARCINKO
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 1:2703 ROUTE 541
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4175
Mailing Address - Country:US
Mailing Address - Phone:609-239-9893
Mailing Address - Fax:609-239-9893
Practice Address - Street 1:2703 ROUTE 541
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4175
Practice Address - Country:US
Practice Address - Phone:609-239-9893
Practice Address - Fax:609-239-9893
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02944300183500000X
PARP439845183500000X
DEDE A1-0003537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist