Provider Demographics
NPI:1821181819
Name:SCHILLER, ROBERT RANEY (RPH)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:RANEY
Last Name:SCHILLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:TX
Mailing Address - Zip Code:76520-2041
Mailing Address - Country:US
Mailing Address - Phone:254-697-2595
Mailing Address - Fax:
Practice Address - Street 1:112 W 1ST ST
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:TX
Practice Address - Zip Code:76520-3302
Practice Address - Country:US
Practice Address - Phone:254-697-2191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19162183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX19162OtherPHARMACY LICENSE