MEDICARE: ROBYN ASHLEIGH BRIDGES PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS50149	FL

General Provider Information

NPI Number	:	1194169854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN ASHLEIGH BRIDGES PHARM.D.

Provider Business Mailing Address
First Line	:	12837 KELSEY ISLAND DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-7560
Country	:	US
Telephone Number	:	904-451-4476
Fax Number	:

Provider Business Practice Location Address
First Line	:	1490 COUNTY ROAD 220
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-7927
Country	:	US
Telephone Number	:	904-278-9438
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2013
Last Update Date	:	04/24/2013

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