Healthcare Provider Details

I. General information

NPI: 1184929754
Provider Name (Legal Business Name): ROBYN REDUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2011
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 W WARNER RD
GILBERT AZ
85233-7267
US

IV. Provider business mailing address

3616 E RAY RD
PHOENIX AZ
85044-7114
US

V. Phone/Fax

Practice location:
  • Phone: 480-813-7388
  • Fax:
Mailing address:
  • Phone: 480-706-0609
  • Fax: 480-706-6078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS018305
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: