Provider Demographics
NPI:1780023564
Name:GENT, ROBIN KAYE (RPH)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:KAYE
Last Name:GENT
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 1:725 N PIKE ST
Mailing Address - Street 2:P.O. BOX 188
Mailing Address - City:GRAFTON
Mailing Address - State:WV
Mailing Address - Zip Code:26354-1270
Mailing Address - Country:US
Mailing Address - Phone:304-265-7400
Mailing Address - Fax:304-265-7401
Practice Address - Street 1:725 N PIKE ST
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WV
Practice Address - Zip Code:26354-1270
Practice Address - Country:US
Practice Address - Phone:304-265-7400
Practice Address - Fax:304-265-7401
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0003899183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist