MEDICARE: DR. KETHIA ROBINSON DAWKINS PHARM.D.

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	1835P2201X	Ambulatory Care Pharmacist	PS27436	FL

General Provider Information

NPI Number	:	1235723974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KETHIA ROBINSON DAWKINS PHARM.D.

Provider Business Mailing Address
First Line	:	1133 EMILYS WALK LN W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32221-4314
Country	:	US
Telephone Number	:	904-504-6593
Fax Number	:

Provider Business Practice Location Address
First Line	:	655 W 8TH ST # C089
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6511
Country	:	US
Telephone Number	:	904-244-5774
Fax Number	:	904-244-3752

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

Provider Enumeration Date	:	02/23/2021
Last Update Date	:	02/23/2021

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