Individual
DR. POLLY GRETCHEN ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
W 2ND ST., SUITE 100, COMMUNITYCARE, TULSA, OK 74103
(918) 594-5200
Mailing address
1414 S ROCKFORD AVE, TULSA, OK 74120-5810
(918) 629-2126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12549
OK
3336M0003X
Managed Care Organization Pharmacy
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12549
PHARMACY LICENSE NUMBER
OK
Enumeration date
12/09/2019
Last updated
12/09/2019
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