Individual
DR. ADISE MARIE ROUBLEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
9705 W MAIN ST, LA PORTE, TX 77571-4071
(281) 470-7428
Mailing address
3016 WOODWREN CT, LEAGUE CITY, TX 77573-5943
(713) 416-5421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39644
TX
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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