Basic Information
| Provider Information | |||||||||
| NPI: | 1548350937 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | IRBY | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | LEROY | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 34 HICKORY FOREST DR | ||||||||
| Address2: | |||||||||
| City: | HILTON HEAD ISLAND | ||||||||
| State: | SC | ||||||||
| PostalCode: | 299262669 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8436895991 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 522 STINEY RD | ||||||||
| Address2: | |||||||||
| City: | HARDEEVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29927 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8437842181 | ||||||||
| FaxNumber: | 8437846112 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 009969 | SC | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.