Provider Demographics
NPI:1710260955
Name:ROBINSON, MARCELLA (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MARCELLA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3360 IRVIN COBB DR
Mailing Address - Street 2:WALGREENS
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-0501
Mailing Address - Country:US
Mailing Address - Phone:270-444-8011
Mailing Address - Fax:270-444-6745
Practice Address - Street 1:3360 IRVIN COBB DR
Practice Address - Street 2:WALGREENS
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-0501
Practice Address - Country:US
Practice Address - Phone:270-444-8011
Practice Address - Fax:270-444-6745
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY07195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist