Provider Demographics
NPI:1114104320
Name:LORYS, ROBYN ANDERSON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:ANDERSON
Last Name:LORYS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 TRICKUM RD
Mailing Address - Street 2:500-104
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3680
Mailing Address - Country:US
Mailing Address - Phone:678-236-0403
Mailing Address - Fax:
Practice Address - Street 1:3380 TRICKUM RD
Practice Address - Street 2:500-104
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-3680
Practice Address - Country:US
Practice Address - Phone:678-236-0403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA016892183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist