Provider Demographics
NPI:1952681595
Name:ROBBINS, GARRY PAUL JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GARRY
Middle Name:PAUL
Last Name:ROBBINS
Suffix:JR
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 1:601 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:918-341-6278
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:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14303183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist