Provider Demographics
NPI:1891048559
Name:ROBINSON, CINDY C (DPH)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:C
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W WILL ROGERS BLVD
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-6824
Mailing Address - Country:US
Mailing Address - Phone:918-343-7451
Mailing Address - Fax:
Practice Address - Street 1:601 W WILL ROGERS BLVD
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-6824
Practice Address - Country:US
Practice Address - Phone:918-343-7451
Practice Address - Fax:918-341-6278
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12136183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist