Provider Demographics
NPI:1689386245
Name:ROBINSON, RAYEANA LACHELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:RAYEANA
Middle Name:LACHELLE
Last Name:ROBINSON
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 1:3902 FM 762 RD
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5892
Mailing Address - Country:US
Mailing Address - Phone:281-232-2962
Mailing Address - Fax:281-332-4607
Practice Address - Street 1:3902 FM 762 RD
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77469-5892
Practice Address - Country:US
Practice Address - Phone:281-232-2962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist