Provider Demographics
NPI:1477734036
Name:ROBBIE, KATHI RENEE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KATHI
Middle Name:RENEE
Last Name:ROBBIE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 OLD GICK RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-9452
Mailing Address - Country:US
Mailing Address - Phone:518-581-9195
Mailing Address - Fax:
Practice Address - Street 1:16 OLD GICK RD
Practice Address - Street 2:
Practice Address - City:SARATOGA SPGS
Practice Address - State:NY
Practice Address - Zip Code:12866-9452
Practice Address - Country:US
Practice Address - Phone:518-581-9195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046799183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist