Provider Demographics
NPI:1003137696
Name:ROBINSON, RACHEL (PHAM D)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHAM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2702 W. WHEELER
Mailing Address - Street 2:
Mailing Address - City:ARANSAS PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78336
Mailing Address - Country:US
Mailing Address - Phone:361-758-2135
Mailing Address - Fax:361-758-8702
Practice Address - Street 1:2702 W. WHEELER
Practice Address - Street 2:
Practice Address - City:ARANSAS PASS
Practice Address - State:TX
Practice Address - Zip Code:78336
Practice Address - Country:US
Practice Address - Phone:361-758-2135
Practice Address - Fax:361-758-8702
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46459183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist