Healthcare Provider Details

I. General information

NPI: 1609783273
Provider Name (Legal Business Name): PRINCE EDWARD ROBINSON JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 MID CITIES DR STE 1
BENTONVILLE AR
72712-4291
US

IV. Provider business mailing address

2805 MID CITIES DR STE 1
BENTONVILLE AR
72712-4291
US

V. Phone/Fax

Practice location:
  • Phone: 479-271-7754
  • Fax:
Mailing address:
  • Phone: 479-271-7754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD17828
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: