Provider Demographics
NPI:1114199239
Name:DINWIDDIE, ROBERT MORRIS JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MORRIS
Last Name:DINWIDDIE
Suffix:JR
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 1:100 E KING ST
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:TN
Mailing Address - Zip Code:37357-7684
Mailing Address - Country:US
Mailing Address - Phone:931-235-4573
Mailing Address - Fax:
Practice Address - Street 1:100 E KING ST
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:TN
Practice Address - Zip Code:37357-7684
Practice Address - Country:US
Practice Address - Phone:931-235-4573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist