Provider Demographics
NPI:1609197516
Name:POPE, ROBERT NOEL (RPH)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:NOEL
Last Name:POPE
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 1:140 NC HWY 102 WEST
Mailing Address - Street 2:
Mailing Address - City:AYDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28513
Mailing Address - Country:US
Mailing Address - Phone:252-746-3026
Mailing Address - Fax:252-746-7953
Practice Address - Street 1:2465 FRIENDSHIP CHURCH RD
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:NC
Practice Address - Zip Code:27828-9691
Practice Address - Country:US
Practice Address - Phone:252-753-6798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist