Provider Demographics
NPI:1194169854
Name:BRIDGES, ROBYN ASHLEIGH (PHARMD)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:ASHLEIGH
Last Name:BRIDGES
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 1:12837 KELSEY ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-7560
Mailing Address - Country:US
Mailing Address - Phone:904-451-4476
Mailing Address - Fax:
Practice Address - Street 1:1490 COUNTY ROAD 220
Practice Address - Street 2:
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-7927
Practice Address - Country:US
Practice Address - Phone:904-278-9438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50149183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist