Healthcare Provider Details

I. General information

NPI: 1376636712
Provider Name (Legal Business Name): ROBINSON FAMILY PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 E CHESTNUT ST
HOLLIS OK
73550-2031
US

IV. Provider business mailing address

509 E CHESTNUT ST
HOLLIS OK
73550-2031
US

V. Phone/Fax

Practice location:
  • Phone: 580-688-2247
  • Fax: 580-688-2288
Mailing address:
  • Phone: 580-688-2247
  • Fax: 580-688-2288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number73-7755
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LYNDSEY ROBINSON
Title or Position: OWNER
Credential:
Phone: 580-688-2247