Provider Demographics
NPI:1922449420
Name:WILBUR, ROBERT L (PHARMD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:WILBUR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 SEAHORSE LN
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-7206
Mailing Address - Country:US
Mailing Address - Phone:305-803-5050
Mailing Address - Fax:
Practice Address - Street 1:108 SEAHORSE LN
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-7206
Practice Address - Country:US
Practice Address - Phone:305-803-5050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 26106183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist