Provider Demographics
NPI:1164258919
Name:ROBSON, ANTHONY JEROME (RPH, PHARMD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:JEROME
Last Name:ROBSON
Suffix:
Gender:M
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 S DUPONT ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3917
Mailing Address - Country:US
Mailing Address - Phone:302-803-3924
Mailing Address - Fax:
Practice Address - Street 1:413 S DUPONT ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3917
Practice Address - Country:US
Practice Address - Phone:302-803-3924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP458653183500000X
DEA1-0016066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist