Provider Demographics
NPI:1700134723
Name:ROBINSON, ANITRA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANITRA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ANITRA
Other - Middle Name:
Other - Last Name:MCCAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:500 KNOX ABBOTT DR
Mailing Address - Street 2:
Mailing Address - City:CAYCE
Mailing Address - State:SC
Mailing Address - Zip Code:29033-4125
Mailing Address - Country:US
Mailing Address - Phone:803-796-3116
Mailing Address - Fax:803-939-0482
Practice Address - Street 1:500 KNOX ABBOTT DR
Practice Address - Street 2:
Practice Address - City:CAYCE
Practice Address - State:SC
Practice Address - Zip Code:29033-4125
Practice Address - Country:US
Practice Address - Phone:803-796-3116
Practice Address - Fax:803-939-0482
Is Sole Proprietor?:No
Enumeration Date:2012-08-23
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11243183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist