Provider Demographics
NPI:1912248584
Name:DAVIS, ROBERT CECIL (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:CECIL
Last Name:DAVIS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 W CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:EL CAMPO
Mailing Address - State:TX
Mailing Address - Zip Code:77437-4211
Mailing Address - Country:US
Mailing Address - Phone:979-543-4600
Mailing Address - Fax:
Practice Address - Street 1:1616 N ALABAMA RD
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-3204
Practice Address - Country:US
Practice Address - Phone:979-282-2883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist