Healthcare Provider Details

I. General information

NPI: 1629315510
Provider Name (Legal Business Name): CINDY LESLIE AROCENA ROBERSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2013
Last Update Date: 11/24/2021
Certification Date: 11/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 TOWER BLVD STE 1100
DURHAM NC
27707-2599
US

IV. Provider business mailing address

5376 JESSIP ST APT SUITE
MORRISVILLE NC
27560-7502
US

V. Phone/Fax

Practice location:
  • Phone: 919-385-1710
  • Fax:
Mailing address:
  • Phone: 336-423-9726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.295972
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202210949
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number221577
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: