Provider Demographics
NPI:1144973694
Name:ROBICHAUD, MEREDITH FISH (PHARMD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:FISH
Last Name:ROBICHAUD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MILL ST
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-3323
Mailing Address - Country:US
Mailing Address - Phone:704-616-4767
Mailing Address - Fax:
Practice Address - Street 1:501 MILL ST
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-3323
Practice Address - Country:US
Practice Address - Phone:704-616-4767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42706183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist