Provider Demographics
NPI:1508152174
Name:ROBINSON, MICHAEL BRIARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:BRIARD
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 PINE LEDGE RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02828-1515
Mailing Address - Country:US
Mailing Address - Phone:401-949-2321
Mailing Address - Fax:
Practice Address - Street 1:620 GEORGE WASHINGTON HWY
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-4272
Practice Address - Country:US
Practice Address - Phone:401-642-0081
Practice Address - Fax:401-642-0081
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI 2399183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist