Healthcare Provider Details

I. General information

NPI: 1457716300
Provider Name (Legal Business Name): ROBBIE DIETZ SAWYER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2015
Last Update Date: 12/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 US HIGHWAY 13 BYP
WINDSOR NC
27983-7118
US

IV. Provider business mailing address

1145 RAILROAD BED RD
ROPER NC
27970-9221
US

V. Phone/Fax

Practice location:
  • Phone: 252-794-9222
  • Fax:
Mailing address:
  • Phone: 252-793-3887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14236
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: