Provider Demographics
NPI:1255616595
Name:THOMPSON, ROBERT LEE (RPH)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:LEE
Last Name:THOMPSON
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 1:13948A WESTHEIMER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5359
Mailing Address - Country:US
Mailing Address - Phone:281-496-1488
Mailing Address - Fax:281-496-0455
Practice Address - Street 1:13948A WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5359
Practice Address - Country:US
Practice Address - Phone:281-496-1488
Practice Address - Fax:281-496-0455
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30740183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist