Provider Demographics
NPI:1841924511
Name:ROBINSON, IRINA A (RPH)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:A
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:IRINA
Other - Middle Name:A
Other - Last Name:SAMOYLENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3900 AMBASSADOR DR STE 119B
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5922
Mailing Address - Country:US
Mailing Address - Phone:907-729-2199
Mailing Address - Fax:907-729-4176
Practice Address - Street 1:3900 AMBASSADOR DR STE 119B
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5922
Practice Address - Country:US
Practice Address - Phone:907-729-2199
Practice Address - Fax:907-729-4176
Is Sole Proprietor?:No
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK110649183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK110649OtherPHARMACIST LICENSE