Provider Demographics
NPI:1225110828
Name:ROBIN PHARMACY
Entity Type:Organization
Organization Name:ROBIN PHARMACY
Other - Org Name:TAYLOR PHARMACY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WUN
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:810-785-3979
Mailing Address - Street 1:4929 CLIO RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48504-1886
Mailing Address - Country:US
Mailing Address - Phone:810-785-3797
Mailing Address - Fax:810-785-3978
Practice Address - Street 1:4929 CLIO RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504-1886
Practice Address - Country:US
Practice Address - Phone:810-785-3979
Practice Address - Fax:810-785-3978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301006630183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty