Provider Demographics
NPI:1932479037
Name:VANPATTEN, ROBERT H II (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:H
Last Name:VANPATTEN
Suffix:II
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3050 DRIFTWOOD WAY
Mailing Address - Street 2:UNIT 4603
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-9002
Mailing Address - Country:US
Mailing Address - Phone:239-384-5141
Mailing Address - Fax:239-304-2861
Practice Address - Street 1:30 GOLDEN GATE BLVD W
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-2128
Practice Address - Country:US
Practice Address - Phone:239-384-5141
Practice Address - Fax:239-304-2861
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS48493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist