MEDICARE: PATRICK L ROBINSON RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	38854	CA

General Provider Information

NPI Number	:	1154324978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK L ROBINSON RPH

Provider Business Mailing Address
First Line	:	372 CEDAR RIVER WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-2445
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	372 CEDAR RIVER WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-2445
Country	:	US
Telephone Number	:	916-552-9559
Fax Number	:	916-552-9563

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

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