Provider Demographics
NPI:1285061689
Name:ROBINSON, PATRICIA SUSAN (RPH)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:SUSAN
Last Name:ROBINSON
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 1:352 RICES MILL RD
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-1123
Mailing Address - Country:US
Mailing Address - Phone:215-885-0919
Mailing Address - Fax:
Practice Address - Street 1:3000 ISLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-2022
Practice Address - Country:US
Practice Address - Phone:215-937-0418
Practice Address - Fax:215-937-0474
Is Sole Proprietor?:No
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031922L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist