Provider Demographics
NPI:1093379166
Name:PHILIP, ROBIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:PHILIP
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 N SAN MARCOS DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOUSE
Mailing Address - State:CA
Mailing Address - Zip Code:95391-1324
Mailing Address - Country:US
Mailing Address - Phone:310-940-3651
Mailing Address - Fax:
Practice Address - Street 1:150 MUIR RD
Practice Address - Street 2:PHARMACY SERVICE (119)
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4668
Practice Address - Country:US
Practice Address - Phone:925-370-4776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80232183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist