Provider Demographics
NPI:1841504974
Name:GOLDEN, NANCY ROBIN (RPH)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ROBIN
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:NANCY
Other - Middle Name:ROBIN
Other - Last Name:DUFFLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:925 10TH STREET
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114
Mailing Address - Country:US
Mailing Address - Phone:830-393-8098
Mailing Address - Fax:830-393-8144
Practice Address - Street 1:925 10TH STREET
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114
Practice Address - Country:US
Practice Address - Phone:830-393-8098
Practice Address - Fax:830-393-8144
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist