Provider Demographics
NPI:1184917817
Name:ROBINSON, SHANNON BARRINEAU (RPH)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:BARRINEAU
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2791 DAVID H MCLEOD BLVD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4043
Mailing Address - Country:US
Mailing Address - Phone:843-667-6891
Mailing Address - Fax:843-667-6891
Practice Address - Street 1:2791 DAVID H MCLEOD BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4043
Practice Address - Country:US
Practice Address - Phone:843-667-6891
Practice Address - Fax:843-667-6891
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8519183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist