Provider Demographics
NPI:1679854442
Name:ROBINSON, ANITA D (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:D
Last Name:ROBINSON
Suffix:
Gender:F
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:PO BOX 29426
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-0426
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:513-421-5654
Practice Address - Street 1:8254 VINE ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-1449
Practice Address - Country:US
Practice Address - Phone:513-821-7222
Practice Address - Fax:513-821-4854
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-19336183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist