MEDICARE: ROBIN E WALKUP R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2960	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2960	OTHER	NH	LICENSE REGISTRATION NUMB
2	19813	OTHER	MA	LICENSE REGISTRATION

General Provider Information

NPI Number	:	1548342207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN E WALKUP R.PH.

Provider Business Mailing Address
First Line	:	259 ROCHESTER RD
Second Line	:
City	:	NORTHWOOD
State	:	NH
Zip	:	03261-3512
Country	:	US
Telephone Number	:	603-818-6420
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 S MAIN ST
Second Line	:
City	:	ROCHESTER
State	:	NH
Zip	:	03867-3123
Country	:	US
Telephone Number	:	603-332-4281
Fax Number	:	603-330-5111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	07/08/2007

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