Provider Demographics
NPI:1710224480
Name:ROBBIO, GEORGETTE LYNN (RPH)
Entity Type:Individual
Prefix:MS
First Name:GEORGETTE
Middle Name:LYNN
Last Name:ROBBIO
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 1:6270 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3176
Mailing Address - Country:US
Mailing Address - Phone:954-344-5565
Mailing Address - Fax:
Practice Address - Street 1:6270 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-3176
Practice Address - Country:US
Practice Address - Phone:954-344-5565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL32162183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist