Provider Demographics
NPI:1528680766
Name:HAMFF, ROBERT HENRY (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:HENRY
Last Name:HAMFF
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 1:2101 KILLIAN RD
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:TX
Mailing Address - Zip Code:78945-5059
Mailing Address - Country:US
Mailing Address - Phone:979-966-9100
Mailing Address - Fax:
Practice Address - Street 1:110 E TRAVIS ST
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:TX
Practice Address - Zip Code:78945-2615
Practice Address - Country:US
Practice Address - Phone:979-968-5835
Practice Address - Fax:979-968-8580
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22665183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX22665OtherTEXAS STATE REGISTRATION