Organization
ROBERTA PHARMACY LLC
Active
Other names
Roberta Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MALCOLM PATTERSON (OWNER/ PHARMACIST IN CHARGE)
(478) 836-3515
Entity
Organization
Contact information
Practice address
4 WRIGHT AVE, ROBERTA, GA 31078-4932
(478) 836-3515
(478) 836-3319
Mailing address
PO BOX 418, ROBERTA, GA 31078-0418
(478) 836-3515
(478) 836-3319
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000035142A
—
GA
01
—
2145119
PK
—
Enumeration date
01/13/2014
Last updated
04/21/2025
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