MEDICARE: DR. NICHOLAS AARON 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	RP0009747	WV

General Provider Information

NPI Number	:	1881294247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS AARON ROBINSON PHARMD

Provider Business Mailing Address
First Line	:	400 THREE SPRINGS DR
Second Line	:
City	:	WEIRTON
State	:	WV
Zip	:	26062-4950
Country	:	US
Telephone Number	:	304-723-3450
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 THREE SPRINGS DR
Second Line	:
City	:	WEIRTON
State	:	WV
Zip	:	26062-4950
Country	:	US
Telephone Number	:	304-723-3450
Fax Number	:

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

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	10/27/2020

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