Provider Demographics
NPI:1295034486
Name:JOHNSON, ROBIN BURATT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:BURATT
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ROBIN
Other - Middle Name:BUFFIE LEE
Other - Last Name:BURATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:20 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:DONALDSONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70346-3134
Mailing Address - Country:US
Mailing Address - Phone:225-473-8132
Mailing Address - Fax:
Practice Address - Street 1:20 W 10TH ST
Practice Address - Street 2:
Practice Address - City:DONALDSONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70346-3134
Practice Address - Country:US
Practice Address - Phone:225-473-8132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA18968183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist