Provider Demographics
NPI:1952395576
Name:EARLEY, ROBIN SMITH (RPH)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:SMITH
Last Name:EARLEY
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 1:7800 LAKEFOREST DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-5714
Mailing Address - Country:US
Mailing Address - Phone:804-276-0464
Mailing Address - Fax:
Practice Address - Street 1:6900 ATMORE DR
Practice Address - Street 2:PHARMACY; ROOM 3127A
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-5644
Practice Address - Country:US
Practice Address - Phone:804-674-3681
Practice Address - Fax:804-674-3684
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006030183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist