Provider Demographics
NPI:1962717322
Name:ROBLES, VIRGINIA (PHARMD RPH)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:
Last Name:ROBLES
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 CORONA DEL CAMPO LOOP
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-4046
Mailing Address - Country:US
Mailing Address - Phone:575-647-2506
Mailing Address - Fax:
Practice Address - Street 1:2300 E LOHMAN AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-8492
Practice Address - Country:US
Practice Address - Phone:575-647-2506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP6616183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist