Provider Demographics
NPI:1114334216
Name:ROBLES, ADRIANA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:ROBLES
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 1:8645 FLETCHER PKWY UNIT 470
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-5210
Mailing Address - Country:US
Mailing Address - Phone:602-531-1912
Mailing Address - Fax:
Practice Address - Street 1:8645 FLETCHER PKWY UNIT 470
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-5210
Practice Address - Country:US
Practice Address - Phone:602-531-1912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA661371835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy