Medina, Robert S
Medina, Robert S is an sole proprietor health care provider with primary practice located at 535 Central Ave , Los Alamos NM 87544-3202. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Medina, Robert S can be contacted via phone (505) 662-4778.Contact Information
Primary practice address
535 Central Ave
Los Alamos NM 87544-3202
Phone: (505) 662-4778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RP6576 | New Mexico |
Profile Details
| NPI number | 1114236056 |
|---|---|
| LBN Legal business name | Medina, Robert S |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2010 |
| Last updated | Sep 27th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114236056 | NPPES |
| New Mexico | Other | RP006576 | NEW MEXICO PHARMACIST LICENSE |
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