Provider Demographics
NPI:1306873252
Name:ROBBINS PHARMACY
Entity type:Organization
Organization Name:ROBBINS PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:609-882-2404
Mailing Address - Street 1:2108 PENNINGTON RD
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-1416
Mailing Address - Country:US
Mailing Address - Phone:609-882-2404
Mailing Address - Fax:609-882-4220
Practice Address - Street 1:2108 PENNINGTON RD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638-1416
Practice Address - Country:US
Practice Address - Phone:609-882-2404
Practice Address - Fax:609-882-4220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS000920003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3116010OtherOTHER ID NUMBER
NJ4288203Medicaid
3116010OtherOTHER ID NUMBER