Provider Demographics
NPI:1225500275
Name:STOCKING, ROBIN M (PHARMD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:M
Last Name:STOCKING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 LARUE ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-7072
Mailing Address - Country:US
Mailing Address - Phone:620-272-9023
Mailing Address - Fax:
Practice Address - Street 1:3010 LARUE ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-7072
Practice Address - Country:US
Practice Address - Phone:620-272-9023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14196183500000X
KS1-14412183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist