Provider Demographics
NPI:1831799899
Name:ROBINSON, TAMMY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3233 HIGHWAY 10 W
Mailing Address - Street 2:
Mailing Address - City:CASA
Mailing Address - State:AR
Mailing Address - Zip Code:72025-8208
Mailing Address - Country:US
Mailing Address - Phone:501-233-6142
Mailing Address - Fax:
Practice Address - Street 1:1621 N BUSINESS 9
Practice Address - Street 2:
Practice Address - City:MORRILTON
Practice Address - State:AR
Practice Address - Zip Code:72110-4505
Practice Address - Country:US
Practice Address - Phone:501-354-4135
Practice Address - Fax:501-354-4259
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09134183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty