Most Relevant Information
Provider Data
| NPI Number: | 1003802307 |
| Provider Name: | ROBERT MEDINA B.S.-R.PH. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 35514 |
Most Important Dates
| Enumeration Date: | 09/22/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6010 AMARILLO BLVD WEST
AMARILLO
TX
79106
Practice Location Phone/Fax
| Phone: | 8063547898 |
| Fax: | 8063547857 |
Provider Mailing Location
21 TIFFANY LN
CANYON
TX
790151831
Provider Mailing Phone/Fax
| Phone: | 8063411018 |
| Fax: | 8063547857 |