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NPI Code Detail

MEDICARE: REBECCA ROBINSON RPH

MEDICARE: REBECCA 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist010668KY

General Provider Information

NPI Number : 1912292277
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ROBINSON RPH
Provider Business Mailing Address
First Line : 2520 CLEINVIEW AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-2102
Country : US
Telephone Number : 513-751-6431
Fax Number :
Provider Business Practice Location Address
First Line : 130 PAVILION PKWY
Second Line :
City : NEWPORT
State : KY
Zip : 41071-2998
Country : US
Telephone Number : 859-292-5680
Fax Number : 859-292-5681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2011
Last Update Date : 06/15/2011

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