Provider Demographics
NPI:1831280437
Name:ROBISON, DENNIS DEAN (RPH)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:DEAN
Last Name:ROBISON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2S501 STATE ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-1254
Mailing Address - Country:US
Mailing Address - Phone:630-393-7200
Mailing Address - Fax:
Practice Address - Street 1:2S501 STATE ROUTE 59
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-1254
Practice Address - Country:US
Practice Address - Phone:630-393-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist