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NPI Code Detail

MEDICARE: DR. WILLIE DANIEL ROBINSON PHARMD

MEDICARE: DR. WILLIE 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
1183500000XPharmacistPS50347FL

General Provider Information

NPI Number : 1538508106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIE DANIEL ROBINSON PHARMD
Provider Business Mailing Address
First Line : 1578 US HIGHWAY 19 S
Second Line : APT 1713
City : LEESBURG
State : GA
Zip : 31763-4940
Country : US
Telephone Number : 205-613-6141
Fax Number :
Provider Business Practice Location Address
First Line : 2351 DAWSON RD
Second Line :
City : ALBANY
State : GA
Zip : 31707-2435
Country : US
Telephone Number : 229-888-6166
Fax Number : 229-888-6260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2013
Last Update Date : 06/17/2013

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