Healthcare Provider Details

I. General information

NPI: 1699042101
Provider Name (Legal Business Name): ROBIN LEIGH LINKENHEIL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2011
Last Update Date: 10/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 28TH ST
BOULDER CO
80301-1440
US

IV. Provider business mailing address

1855 ICARUS DR APT A
LAFAYETTE CO
80026-3603
US

V. Phone/Fax

Practice location:
  • Phone: 303-938-9284
  • Fax:
Mailing address:
  • Phone: 607-742-7999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number056467
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: