Provider Demographics
NPI:1497745186
Name:SCOTT ROBISON'S PRESCRIPTIONS
Entity Type:Organization
Organization Name:SCOTT ROBISON'S PRESCRIPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:WINKELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:918-743-2351
Mailing Address - Street 1:1560 E 21ST ST
Mailing Address - Street 2:#104
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-1351
Mailing Address - Country:US
Mailing Address - Phone:918-743-2351
Mailing Address - Fax:918-747-1385
Practice Address - Street 1:1560 E 21ST ST
Practice Address - Street 2:#104
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1351
Practice Address - Country:US
Practice Address - Phone:918-743-2351
Practice Address - Fax:918-747-1385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty