Provider Demographics
NPI:1295076271
Name:CAIN, ROBIN CHIPLEY (RPH)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:CHIPLEY
Last Name:CAIN
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 1:300 S PEARL ST
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:MS
Mailing Address - Zip Code:39051-4108
Mailing Address - Country:US
Mailing Address - Phone:601-267-4506
Mailing Address - Fax:601-267-8618
Practice Address - Street 1:300 S PEARL ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MS
Practice Address - Zip Code:39051-4108
Practice Address - Country:US
Practice Address - Phone:601-267-4506
Practice Address - Fax:601-267-8618
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE08688183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02131719Medicaid