Healthcare Provider Details

I. General information

NPI: 1316378375
Provider Name (Legal Business Name): ROBIN JUSTICE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2013
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 CONN STREET SUITE 2
IVEL KY
41642
US

IV. Provider business mailing address

PO BOX 3026
PIKEVILLE KY
41502-3026
US

V. Phone/Fax

Practice location:
  • Phone: 606-478-3784
  • Fax: 606-478-3788
Mailing address:
  • Phone: 606-437-4144
  • Fax: 606-478-3788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number011430
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number018422
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: