Provider Demographics
NPI:1912508599
Name:JANAWAY, ROBYN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:
Last Name:JANAWAY
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 1:20347 STATE HIGHWAY 74B
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:OK
Mailing Address - Zip Code:73093-4732
Mailing Address - Country:US
Mailing Address - Phone:405-301-0313
Mailing Address - Fax:
Practice Address - Street 1:501 SW 19TH ST
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-5421
Practice Address - Country:US
Practice Address - Phone:405-799-9581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty