Provider Demographics
NPI:1770970402
Name:ROBINSON, HOWARD (PHARMD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:ROBINSON
Suffix:
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 1:410 CHASE STREET
Mailing Address - Street 2:
Mailing Address - City:CLINTWOOD
Mailing Address - State:VA
Mailing Address - Zip Code:24228
Mailing Address - Country:US
Mailing Address - Phone:276-926-6002
Mailing Address - Fax:276-926-6031
Practice Address - Street 1:100 CHASE STREET
Practice Address - Street 2:100 CHASE STREET
Practice Address - City:CLINTWOOD
Practice Address - State:VA
Practice Address - Zip Code:24228-0789
Practice Address - Country:US
Practice Address - Phone:276-926-6002
Practice Address - Fax:276-926-6031
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207792183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist