Provider Demographics
NPI:1760007264
Name:JOHNSON, ROBIN SCHATZ (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:SCHATZ
Last Name:JOHNSON
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 1:4602 PARKSTONE LN
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-7095
Mailing Address - Country:US
Mailing Address - Phone:317-517-6960
Mailing Address - Fax:
Practice Address - Street 1:4602 PARKSTONE LN
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7095
Practice Address - Country:US
Practice Address - Phone:317-517-6960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26021229A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist