Provider Demographics
NPI:1609527936
Name:ROBINSON, CHAD NICHOLAS (RPH)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:NICHOLAS
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 1:180 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:COCHRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:16314-9706
Mailing Address - Country:US
Mailing Address - Phone:814-638-0040
Mailing Address - Fax:814-638-0104
Practice Address - Street 1:180 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:COCHRANTON
Practice Address - State:PA
Practice Address - Zip Code:16314-9706
Practice Address - Country:US
Practice Address - Phone:814-638-0040
Practice Address - Fax:814-638-0104
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist