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NPI Code Detail

MEDICARE: DR. ROBINSON G MONDA PHARM.D

MEDICARE: DR. ROBINSON G MONDA 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
1183500000XPharmacist26028118AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
126028118AOTHERINPHARMACIST STATE LICENSE NUMBER

General Provider Information

NPI Number : 1346844362
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBINSON G MONDA PHARM.D
Provider Business Mailing Address
First Line : 8346 WESTCLIFFE DR
Second Line :
City : AVON
State : IN
Zip : 46123-6743
Country : US
Telephone Number : 317-702-3027
Fax Number :
Provider Business Practice Location Address
First Line : 1950 STATE STREET, NEW ALBANY
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-4920
Country : US
Telephone Number : 812-948-8305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2020
Last Update Date : 11/30/2020

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