Provider Demographics
NPI:1285943951
Name:ROBINSON, HANNAH JOLYN (PHARM D)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:JOLYN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 HIGHWAY 425 S
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71655-4614
Mailing Address - Country:US
Mailing Address - Phone:870-367-1101
Mailing Address - Fax:870-367-1128
Practice Address - Street 1:406 HIGHWAY 425 S
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-4614
Practice Address - Country:US
Practice Address - Phone:870-367-1101
Practice Address - Fax:870-367-1128
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD10848183500000X
LA18766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist