Healthcare Provider Details

I. General information

NPI: 1609527936
Provider Name (Legal Business Name): CHAD NICHOLAS ROBINSON RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 N FRANKLIN ST
COCHRANTON PA
16314-9706
US

IV. Provider business mailing address

180 N FRANKLIN ST
COCHRANTON PA
16314-9706
US

V. Phone/Fax

Practice location:
  • Phone: 814-638-0040
  • Fax: 814-638-0104
Mailing address:
  • Phone: 814-638-0040
  • Fax: 814-638-0104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP449405
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: