MEDICARE: DR. JOSHUA DANIEL ROBINSON PHARMD

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	PD13675	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PD13675	OTHER	AR	ARKANSAS STATE BOARD OF PHARMACY

General Provider Information

NPI Number	:	1285085209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA DANIEL ROBINSON PHARMD

Provider Business Mailing Address
First Line	:	509 REYBURN CREEK RD
Second Line	:
City	:	MALVERN
State	:	AR
Zip	:	72104-7602
Country	:	US
Telephone Number	:	479-595-4977
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 REYBURN CREEK RD
Second Line	:
City	:	MALVERN
State	:	AR
Zip	:	72104-7602
Country	:	US
Telephone Number	:	479-595-4977
Fax Number	:

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

Provider Enumeration Date	:	06/30/2016
Last Update Date	:	06/30/2016

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