Provider Demographics
NPI:1235451105
Name:HARRIS, ROBYN KAYE (RPH)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:KAYE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 NE 162ND AVE BLDG C
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-3014
Mailing Address - Country:US
Mailing Address - Phone:360-891-1809
Mailing Address - Fax:360-604-1991
Practice Address - Street 1:1900 NE 162ND AVE BLDG C
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-3014
Practice Address - Country:US
Practice Address - Phone:360-891-1809
Practice Address - Fax:360-604-1991
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 00042624183500000X
ORRPH-0009867183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist