Healthcare Provider Details

I. General information

NPI: 1770093858
Provider Name (Legal Business Name): ROBIN ANNE BRANDOS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 JACKSON AVE
TACOMA WA
98431-0001
US

IV. Provider business mailing address

435 WALNUT ST APT 14
SAN CARLOS CA
94070-2306
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-1110
  • Fax:
Mailing address:
  • Phone: 858-922-2535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number77626
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: