Provider Demographics
NPI:1841575917
Name:APLIN, ROBERT DAVIDSON (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DAVIDSON
Last Name:APLIN
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 1:2940 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-1152
Mailing Address - Country:US
Mailing Address - Phone:334-677-6149
Mailing Address - Fax:334-677-6189
Practice Address - Street 1:2940 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-1152
Practice Address - Country:US
Practice Address - Phone:334-677-6149
Practice Address - Fax:334-677-6189
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL10697OtherPHARMACIST LICENSE