Provider Demographics
NPI:1861163149
Name:CARDENAS, ROBIN KATHLEEN (RPH)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:KATHLEEN
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-9219
Mailing Address - Country:US
Mailing Address - Phone:843-249-7618
Mailing Address - Fax:
Practice Address - Street 1:3750 W MARKET ST
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4804
Practice Address - Country:US
Practice Address - Phone:330-668-6605
Practice Address - Fax:330-668-6083
Is Sole Proprietor?:No
Enumeration Date:2021-09-25
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30781183500000X
OH03124420183500000X
SC43325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist