MEDICARE: ROSE L 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	2008029239	MO

General Provider Information

NPI Number	:	1518443340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE L ROBINSON PHARMD

Provider Business Mailing Address
First Line	:	1589 SIERRA VISTA PLZ
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63138-2040
Country	:	US
Telephone Number	:	314-355-8314
Fax Number	:	314-355-3591

Provider Business Practice Location Address
First Line	:	1589 SIERRA VISTA PLZ
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63138-2040
Country	:	US
Telephone Number	:	314-355-8314
Fax Number	:	314-355-3591

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

Provider Enumeration Date	:	07/15/2018
Last Update Date	:	07/15/2018

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