Provider Demographics
NPI:1457716300
Name:SAWYER, ROBBIE DIETZ (RPH)
Entity type:Individual
Prefix:MRS
First Name:ROBBIE
Middle Name:DIETZ
Last Name:SAWYER
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 1:1145 RAILROAD BED RD
Mailing Address - Street 2:
Mailing Address - City:ROPER
Mailing Address - State:NC
Mailing Address - Zip Code:27970-9221
Mailing Address - Country:US
Mailing Address - Phone:252-793-3887
Mailing Address - Fax:
Practice Address - Street 1:119 US HIGHWAY 13 BYP
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:NC
Practice Address - Zip Code:27983-7118
Practice Address - Country:US
Practice Address - Phone:252-794-9222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-19
Last Update Date:2015-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist