Provider Demographics
NPI:1992727077
Name:POHLER, ROBERT THEODORE (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:THEODORE
Last Name:POHLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2416 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840
Mailing Address - Country:US
Mailing Address - Phone:830-298-6453
Mailing Address - Fax:830-298-6511
Practice Address - Street 1:590 MITCHELL BLVD
Practice Address - Street 2:47 MDG/SGSAP
Practice Address - City:LAUGHLIN AFB
Practice Address - State:TX
Practice Address - Zip Code:78843
Practice Address - Country:US
Practice Address - Phone:830-298-6451
Practice Address - Fax:830-298-6511
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13201183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist