Healthcare Provider Details

I. General information

NPI: 1639259351
Provider Name (Legal Business Name): ROBYN LYNN WARNICK RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 LOCH RAVEN BLVD
BALTIMORE MD
21218-2108
US

IV. Provider business mailing address

612 N STUART ST
BALTIMORE MD
21221-4831
US

V. Phone/Fax

Practice location:
  • Phone: 410-605-7511
  • Fax: 410-605-7540
Mailing address:
  • Phone: 410-686-0246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number10090
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: