Healthcare Provider Details

I. General information

NPI: 1124489463
Provider Name (Legal Business Name): VICTORIA ROBINSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2016
Last Update Date: 03/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 HOWELL MILL RD NW
ATLANTA GA
30318-2538
US

IV. Provider business mailing address

505 W 3RD ST
ADEL GA
31620-2420
US

V. Phone/Fax

Practice location:
  • Phone: 404-350-9853
  • Fax:
Mailing address:
  • Phone: 229-543-2018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberRPH026052
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: