Provider Demographics
NPI:1720370125
Name:SHUDER, ROBERT FRANCIS JR (PHARM-D)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANCIS
Last Name:SHUDER
Suffix:JR
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 1:48-50 SOUTH OAK ST
Mailing Address - Street 2:
Mailing Address - City:MT. CARMEL
Mailing Address - State:PA
Mailing Address - Zip Code:17834-1897
Mailing Address - Country:US
Mailing Address - Phone:570-339-3721
Mailing Address - Fax:
Practice Address - Street 1:48 SOUTH OAK STREET
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:MOUNT CAMEL
Practice Address - State:PA
Practice Address - Zip Code:17851-1897
Practice Address - Country:US
Practice Address - Phone:570-339-3721
Practice Address - Fax:570-339-3691
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP437711183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist