Provider Demographics
NPI:1629315510
Name:ROBERSON, CINDY LESLIE AROCENA (PHARMD)
Entity Type:Individual
Prefix:
First Name:CINDY LESLIE
Middle Name:AROCENA
Last Name:ROBERSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5376 JESSIP ST APT SUITE
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7502
Mailing Address - Country:US
Mailing Address - Phone:336-423-9726
Mailing Address - Fax:
Practice Address - Street 1:3100 TOWER BLVD STE 1100
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2599
Practice Address - Country:US
Practice Address - Phone:919-385-1710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.295972183500000X
VA0202210949183500000X
NC2215771835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist