Provider Demographics
NPI:1639499973
Name:AAMOT, ROBBIE D (RPH)
Entity Type:Individual
Prefix:
First Name:ROBBIE
Middle Name:D
Last Name:AAMOT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 6TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-5027
Mailing Address - Country:US
Mailing Address - Phone:605-229-5500
Mailing Address - Fax:605-229-6641
Practice Address - Street 1:1815 6TH AVE SE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-5027
Practice Address - Country:US
Practice Address - Phone:605-229-5500
Practice Address - Fax:605-229-6641
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD 4771183500000X
IAIA 18115183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD8502010Medicaid