Provider Demographics
NPI:1912508755
Name:HART-ROBBINS, LATANYA YVETTE (RPH)
Entity Type:Individual
Prefix:
First Name:LATANYA
Middle Name:YVETTE
Last Name:HART-ROBBINS
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 1:300 H ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4691
Mailing Address - Country:US
Mailing Address - Phone:202-548-5101
Mailing Address - Fax:202-548-5104
Practice Address - Street 1:300 H ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4691
Practice Address - Country:US
Practice Address - Phone:202-548-5101
Practice Address - Fax:202-548-5104
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH2961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist