Provider Demographics
NPI:1669710653
Name:GARNER, ROBIN LARGIN (RPH)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LARGIN
Last Name:GARNER
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 1:1101 SOUTHVIEW LANE
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405
Mailing Address - Country:US
Mailing Address - Phone:205-247-7715
Mailing Address - Fax:205-247-7720
Practice Address - Street 1:1101 SOUTHVIEW LN
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-6389
Practice Address - Country:US
Practice Address - Phone:205-247-7715
Practice Address - Fax:205-247-7720
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist