Provider Demographics
NPI:1669651592
Name:ROBINSON, NIECHOLE LEE (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:NIECHOLE
Middle Name:LEE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 TONGASS DR
Mailing Address - Street 2:MT EDGECUMBE HOSPITAL - DEPT OF PHARMACY
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9416
Mailing Address - Country:US
Mailing Address - Phone:907-966-8347
Mailing Address - Fax:907-966-8450
Practice Address - Street 1:222 TONGASS DR
Practice Address - Street 2:MT EDGECUMBE HOSPITAL - DEPT OF PHARMACY
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9416
Practice Address - Country:US
Practice Address - Phone:907-966-8347
Practice Address - Fax:907-966-8450
Is Sole Proprietor?:No
Enumeration Date:2007-10-27
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1334183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist