Provider Demographics
NPI:1265762330
Name:WILLIAMS, ROBBIN (PHARMD)
Entity type:Individual
Prefix:MS
First Name:ROBBIN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ROBBIN
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5160 S WHITE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SHOW LOW
Mailing Address - State:AZ
Mailing Address - Zip Code:85901-7826
Mailing Address - Country:US
Mailing Address - Phone:928-532-5502
Mailing Address - Fax:928-532-5499
Practice Address - Street 1:5160 S WHITE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:SHOW LOW
Practice Address - State:AZ
Practice Address - Zip Code:85901-7826
Practice Address - Country:US
Practice Address - Phone:928-532-5502
Practice Address - Fax:928-532-5499
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS009822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist