Provider Demographics
NPI:1164193090
Name:ROBBINS, JOEY MICHAEL (PD)
Entity Type:Individual
Prefix:
First Name:JOEY
Middle Name:MICHAEL
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 572
Mailing Address - Street 2:
Mailing Address - City:POCAHONTAS
Mailing Address - State:AR
Mailing Address - Zip Code:72455
Mailing Address - Country:US
Mailing Address - Phone:870-202-2536
Mailing Address - Fax:870-202-2540
Practice Address - Street 1:567 HIGHWAY 67 S
Practice Address - Street 2:
Practice Address - City:POCAHONTAS
Practice Address - State:AR
Practice Address - Zip Code:72455-3773
Practice Address - Country:US
Practice Address - Phone:870-202-2536
Practice Address - Fax:870-202-2540
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD07034183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist