Provider Demographics
NPI:1932345501
Name:DUNCAN, ROBERT CLAY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CLAY
Last Name:DUNCAN
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 1:2760 S FALKENBURG RD
Mailing Address - Street 2:WALGREENS DISTRICT OFFICE
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-2561
Mailing Address - Country:US
Mailing Address - Phone:813-621-6041
Mailing Address - Fax:813-626-1171
Practice Address - Street 1:1860 E FOWLER AVE
Practice Address - Street 2:WALGREENS #3145
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5511
Practice Address - Country:US
Practice Address - Phone:813-977-0651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-31
Last Update Date:2010-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS27589183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist