Provider Demographics
NPI:1710019302
Name:ROBINSON, MONIQUE NICOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:NICOLE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MONIQUE
Other - Middle Name:NICOLE
Other - Last Name:MATTHEWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7404 ERNST ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1771
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7402 N 30TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68112-2722
Practice Address - Country:US
Practice Address - Phone:402-827-3500
Practice Address - Fax:402-827-3502
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist