Provider Demographics
NPI:1548873011
Name:ROBINSON, REGINALD ANTHONY JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:REGINALD
Middle Name:ANTHONY
Last Name:ROBINSON
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3140 TCHULAHOMA RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-2722
Mailing Address - Country:US
Mailing Address - Phone:901-362-7390
Mailing Address - Fax:
Practice Address - Street 1:2655 FRAYSER BLVD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38127-4832
Practice Address - Country:US
Practice Address - Phone:901-353-0639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40487183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist