Provider Demographics
NPI:1144205337
Name:VIGILANTE, ROBINA J (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ROBINA
Middle Name:J
Last Name:VIGILANTE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9110 DUNDEE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-6122
Mailing Address - Country:US
Mailing Address - Phone:561-967-2969
Mailing Address - Fax:561-967-2969
Practice Address - Street 1:6547 N. STATE RD 7
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073
Practice Address - Country:US
Practice Address - Phone:954-570-7904
Practice Address - Fax:954-570-9490
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS028564183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist