Provider Demographics
NPI:1043530835
Name:ELLIOTT, ROBIN MICHELLE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:MICHELLE
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5420 WEST LOOP SOUTH
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2116
Mailing Address - Country:US
Mailing Address - Phone:713-667-6777
Mailing Address - Fax:713-667-6796
Practice Address - Street 1:5420 WEST LOOP SOUTH
Practice Address - Street 2:SUITE 1500
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2116
Practice Address - Country:US
Practice Address - Phone:713-667-6777
Practice Address - Fax:713-667-6796
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX44897OtherTEXAZ STATE BOARD OF PHARMACY