MEDICARE: DR. NICHOLAS A ROBINSON PHARMD

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	59132	TX
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	59132	TX

General Provider Information

NPI Number	:	1184256737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS A ROBINSON PHARMD

Provider Business Mailing Address
First Line	:	2404 S BECKLEY AVE STE B
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-2916
Country	:	US
Telephone Number	:	214-458-3371
Fax Number	:

Provider Business Practice Location Address
First Line	:	2404 S BECKLEY AVE STE B
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-2916
Country	:	US
Telephone Number	:	214-458-3371
Fax Number	:

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

Provider Enumeration Date	:	02/11/2020
Last Update Date	:	12/26/2023

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