Provider Demographics
NPI:1386630747
Name:ROBINSON'S PHARMACY & MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:ROBINSON'S PHARMACY & MEDICAL SUPPLIES, INC.
Other - Org Name:ROBINSON'S MEDICAL EQUIPMENT & SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-622-4454
Mailing Address - Street 1:1261 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-5805
Mailing Address - Country:US
Mailing Address - Phone:530-622-4460
Mailing Address - Fax:530-622-5826
Practice Address - Street 1:1261 BROADWAY
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-5805
Practice Address - Country:US
Practice Address - Phone:530-622-4132
Practice Address - Fax:530-622-4474
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBINSON'S PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-09-21
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4364010001Medicare NSC