Provider Demographics
NPI:1366529588
Name:DUEY, ROBERT H (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:DUEY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4592 EWING RD
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-1014
Mailing Address - Country:US
Mailing Address - Phone:510-886-3032
Mailing Address - Fax:
Practice Address - Street 1:4592 EWING RD
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-1014
Practice Address - Country:US
Practice Address - Phone:510-886-3032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23508183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist