Provider Demographics
NPI:1679855217
Name:WINTER, ROBERT ALBERT III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALBERT
Last Name:WINTER
Suffix:III
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 1:5320 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3201
Mailing Address - Country:US
Mailing Address - Phone:404-508-7166
Mailing Address - Fax:404-297-1716
Practice Address - Street 1:5320 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-3201
Practice Address - Country:US
Practice Address - Phone:404-508-7166
Practice Address - Fax:404-297-1716
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNE00319350390200000X
TX53464183500000X
GARPH033382183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program