Provider Demographics
NPI:1437448701
Name:ROBINHOOD FAMILY PHARMACY LLC
Entity Type:Organization
Organization Name:ROBINHOOD FAMILY PHARMACY LLC
Other - Org Name:ROBINHOOD FAMILY PHARMACY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GUNAR
Authorized Official - Middle Name:
Authorized Official - Last Name:STOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-283-9355
Mailing Address - Street 1:3424 ROBINHOOD RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4702
Mailing Address - Country:US
Mailing Address - Phone:336-283-9355
Mailing Address - Fax:336-283-9357
Practice Address - Street 1:3424 ROBINHOOD RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4702
Practice Address - Country:US
Practice Address - Phone:336-283-9355
Practice Address - Fax:336-283-9357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC109893336C0003X
3336C0004X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2129790OtherPK
NC0347815Medicaid