Provider Demographics
NPI:1659388205
Name:BULS, ROBERT G (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:G
Last Name:BULS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6215 SUMMERHILL PL
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-1500
Mailing Address - Country:US
Mailing Address - Phone:903-278-6875
Mailing Address - Fax:
Practice Address - Street 1:5701 SUMMERHILL RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-1634
Practice Address - Country:US
Practice Address - Phone:800-862-7441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34936183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist