Provider Demographics
NPI:1083909980
Name:ROBINSON, DANIEL RICHARD (RPH)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:RICHARD
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13301 GATEWAY CENTER DR
Mailing Address - Street 2:T1873
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-2984
Mailing Address - Country:US
Mailing Address - Phone:571-261-5061
Mailing Address - Fax:571-261-5061
Practice Address - Street 1:13301 GATEWAY CENTER DR
Practice Address - Street 2:T1873
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-2984
Practice Address - Country:US
Practice Address - Phone:571-261-5061
Practice Address - Fax:571-261-5061
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist