Healthcare Provider Details

I. General information

NPI: 1235459108
Provider Name (Legal Business Name): PATSY COPELAND ROBBINS R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2010
Last Update Date: 06/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 HODGES FERRY RD
PORTSMOUTH VA
23701-1343
US

IV. Provider business mailing address

975 HODGES FERRY RD
PORTSMOUTH VA
23701-1343
US

V. Phone/Fax

Practice location:
  • Phone: 757-465-0063
  • Fax: 757-488-8762
Mailing address:
  • Phone: 757-465-0063
  • Fax: 757-488-8762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202004944
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: