Provider Demographics
NPI:1265035901
Name:ROBINSON, LAURA J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:J
Last Name:ROBINSON
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 1:10114 GREENBUSH RD
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:OH
Mailing Address - Zip Code:45311-6708
Mailing Address - Country:US
Mailing Address - Phone:937-248-3788
Mailing Address - Fax:
Practice Address - Street 1:100A E WASHINGTON JACKSON RD
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320-9729
Practice Address - Country:US
Practice Address - Phone:937-456-7720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26024692A183500000X
OH03132306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist