Provider Demographics
NPI:1770968562
Name:ROBACHESKI, AMY LYNN (PHARMD, RPH)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:LYNN
Last Name:ROBACHESKI
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 JONES ST
Mailing Address - Street 2:
Mailing Address - City:NANTICOKE
Mailing Address - State:PA
Mailing Address - Zip Code:18634-4414
Mailing Address - Country:US
Mailing Address - Phone:570-899-2232
Mailing Address - Fax:
Practice Address - Street 1:405 JONES ST
Practice Address - Street 2:
Practice Address - City:NANTICOKE
Practice Address - State:PA
Practice Address - Zip Code:18634-4414
Practice Address - Country:US
Practice Address - Phone:570-899-2232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449601183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist