Healthcare Provider Details

I. General information

NPI: 1881648640
Provider Name (Legal Business Name): DAVID I ROBBINS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 FORT HILL AVE VAMC CANANDAIGUA PHARMACY 119
CANANDAIGUA NY
14424-1159
US

IV. Provider business mailing address

167 DUNROVIN LN
ROCHESTER NY
14618-4815
US

V. Phone/Fax

Practice location:
  • Phone: 585-393-8050
  • Fax: 585-393-8357
Mailing address:
  • Phone: 585-244-7688
  • Fax: 585-393-8357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number027955
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: