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Individual

TAMMY MADDOX ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
790 SCHILLINGER RD S, MOBILE, AL 36695-8979
(251) 776-1512
Mailing address
635 130TH CT NE, LAKE STEVENS, WA 98258-5408
(425) 322-3116

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14473
AL

Other

Enumeration date
12/21/2011
Last updated
12/21/2011
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