Provider Demographics
NPI:1346497351
Name:HOLBROOK, ROBERT DAVID (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DAVID
Last Name:HOLBROOK
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1374 WEAVER BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:PINEY FLATS
Mailing Address - State:TN
Mailing Address - Zip Code:37686-3716
Mailing Address - Country:US
Mailing Address - Phone:276-298-9157
Mailing Address - Fax:423-328-3461
Practice Address - Street 1:880 BOONES STATION RD
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37615-4402
Practice Address - Country:US
Practice Address - Phone:423-328-3446
Practice Address - Fax:423-328-3461
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN09845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN09845OtherBOARD OF PHARMACY