Provider Demographics
NPI:1689793317
Name:BYRD, ROBERT DEAN JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DEAN
Last Name:BYRD
Suffix:JR
Gender:M
Credentials:RPH
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Mailing Address - Street 1:170 CREEKWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-8758
Mailing Address - Country:US
Mailing Address - Phone:800-286-6197
Mailing Address - Fax:859-275-1679
Practice Address - Street 1:2100 NICHOLASVILLE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2502
Practice Address - Country:US
Practice Address - Phone:800-286-6197
Practice Address - Fax:859-275-1679
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2012-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY9361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist