Provider Demographics
NPI:1366984221
Name:ROBBINS, DAVID MICHAEL (PHARMD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MICHAEL
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10460 AL HIGHWAY 168
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BOAZ
Mailing Address - State:AL
Mailing Address - Zip Code:35957-1951
Mailing Address - Country:US
Mailing Address - Phone:256-593-6546
Mailing Address - Fax:256-593-3137
Practice Address - Street 1:10460 AL HIGHWAY 168
Practice Address - Street 2:SUITE 1
Practice Address - City:BOAZ
Practice Address - State:AL
Practice Address - Zip Code:35957-1951
Practice Address - Country:US
Practice Address - Phone:256-593-6546
Practice Address - Fax:256-593-3137
Is Sole Proprietor?:No
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17099183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist