Robert Alan Panzik, PHARMD RPH

Individual provider Active NPI Pharmacist · Mount Pocono, PA

NPI 1366765489 · NPPES record last updated Mar 3, 2010

Key facts

NPI
1366765489
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP438852 (PA)
Practice address
500 Route 940
Mount Pocono, PA 18344-1329
Phone
(570) 895-4781
Fax
(570) 895-4787
NPI assigned
Mar 3, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP438852PAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP438852 PA Yes

Addresses

Primary practice location

500 Route 940
Mount Pocono, PA 18344-1329

Mailing address

500 Route 940
Mount Pocono, PA 18344-1329
Phone (570) 895-4781

Other providers in Mount Pocono, PA

All providers in Mount Pocono, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.