Healthcare Provider Details

I. General information

NPI: 1497078281
Provider Name (Legal Business Name): JUSTIN RICHARD ROBBEN RPH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2010
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 COMMERCIAL WAY
SPRING HILL FL
34606-1914
US

IV. Provider business mailing address

4401 COMMERCIAL WAY
SPRING HILL FL
34606-1914
US

V. Phone/Fax

Practice location:
  • Phone: 352-596-1590
  • Fax: 352-596-1590
Mailing address:
  • Phone: 352-596-1590
  • Fax: 352-596-1590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS33066
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: