Provider Demographics
NPI:1548342207
Name:WALKUP, ROBIN E (RPH)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:E
Last Name:WALKUP
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:NORTHWOOD
Mailing Address - State:NH
Mailing Address - Zip Code:03261-3512
Mailing Address - Country:US
Mailing Address - Phone:603-818-6420
Mailing Address - Fax:
Practice Address - Street 1:161 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-3123
Practice Address - Country:US
Practice Address - Phone:603-332-4281
Practice Address - Fax:603-330-5111
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2960183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH2960OtherLICENSE REGISTRATION NUMB
MA19813OtherLICENSE REGISTRATION