Provider Demographics
NPI:1508892852
Name:ROBBINS INC
Entity Type:Organization
Organization Name:ROBBINS INC
Other - Org Name:PHIL'S DISCOUNT DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-210-5120
Mailing Address - Street 1:702 E LINCOLNWAY
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-3889
Mailing Address - Country:US
Mailing Address - Phone:219-362-7133
Mailing Address - Fax:219-362-2833
Practice Address - Street 1:702 E LINCOLNWAY
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-3889
Practice Address - Country:US
Practice Address - Phone:219-362-7133
Practice Address - Fax:219-362-2833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60006111A3336C0003X, 3336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1512789OtherNCPDP PROVIDER IDENTIFICATION NUMBER
IN200886300AMedicaid
IN300078339Medicaid