Provider Demographics
NPI:1639165921
Name:DYKES, ROBERT ALAN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:DYKES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:COCHRAN
Mailing Address - State:GA
Mailing Address - Zip Code:31014-6304
Mailing Address - Country:US
Mailing Address - Phone:478-934-6344
Mailing Address - Fax:478-934-8820
Practice Address - Street 1:134 N 2ND ST
Practice Address - Street 2:
Practice Address - City:COCHRAN
Practice Address - State:GA
Practice Address - Zip Code:31014-6304
Practice Address - Country:US
Practice Address - Phone:478-934-6344
Practice Address - Fax:478-934-8820
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA020840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist