Provider Demographics
NPI:1013254234
Name:HARB, ROBERT G (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:G
Last Name:HARB
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 1:4320 FALMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:LONGBOAT KEY
Mailing Address - State:FL
Mailing Address - Zip Code:34228
Mailing Address - Country:US
Mailing Address - Phone:941-387-9797
Mailing Address - Fax:
Practice Address - Street 1:8324 US HWY 301 NORTH
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219
Practice Address - Country:US
Practice Address - Phone:941-479-7904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS-8878183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist