Provider Demographics
NPI:1063015535
Name:WALTERS, ROBIN NEAL (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:NEAL
Last Name:WALTERS
Suffix:
Gender:M
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 W TRINITY MILLS RD
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-1375
Mailing Address - Country:US
Mailing Address - Phone:800-508-0960
Mailing Address - Fax:
Practice Address - Street 1:1025 W TRINITY MILLS RD
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1375
Practice Address - Country:US
Practice Address - Phone:800-508-0960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57620183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist