Provider Demographics
NPI:1386031912
Name:ROBINSON, MONIQUE (PHARM D)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:
Other - Last Name:REEDY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:4058 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-4165
Mailing Address - Country:US
Mailing Address - Phone:615-890-3429
Mailing Address - Fax:
Practice Address - Street 1:4058 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4165
Practice Address - Country:US
Practice Address - Phone:615-890-3429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-21
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53994183500000X
TN42803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist