Provider Demographics
NPI:1740826619
Name:BRYANT, ROBIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:BRYANT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:KELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:821 INDIANAPOLIS RD
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-1451
Mailing Address - Country:US
Mailing Address - Phone:765-653-1606
Mailing Address - Fax:765-653-1859
Practice Address - Street 1:821 INDIANAPOLIS RD
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:IN
Practice Address - Zip Code:46135-1451
Practice Address - Country:US
Practice Address - Phone:765-653-1606
Practice Address - Fax:765-653-1859
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26022513A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist