Provider Demographics
NPI:1821491267
Name:ROBINSON, JOSEPH KYLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:KYLE
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2695 LONG HOLLOW PIKE
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-8721
Mailing Address - Country:US
Mailing Address - Phone:615-417-2125
Mailing Address - Fax:
Practice Address - Street 1:2695 LONG HOLLOW PIKE
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-8721
Practice Address - Country:US
Practice Address - Phone:615-417-2125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist