Provider Demographics
NPI:1235647371
Name:ROBISON, CLAUDIA (RPH)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:ROBISON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:MILLADGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:1500 LUZ DE SOL DR SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-8726
Mailing Address - Country:US
Mailing Address - Phone:505-975-5297
Mailing Address - Fax:
Practice Address - Street 1:10700 UNSER BLVD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-4640
Practice Address - Country:US
Practice Address - Phone:505-881-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00006558183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist