Provider Demographics
NPI:1245787308
Name:ROBISON, DEBRA M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:M
Last Name:ROBISON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1363 HWY 395 NORTH
Mailing Address - Street 2:RALEY'S #109 PHARMACY
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410
Mailing Address - Country:US
Mailing Address - Phone:775-782-2226
Mailing Address - Fax:775-782-1007
Practice Address - Street 1:1363 HWY 395 NORTH
Practice Address - Street 2:RALEY'S #109 PHARMACY
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89410
Practice Address - Country:US
Practice Address - Phone:775-782-2226
Practice Address - Fax:775-782-1007
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17210183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist