Individual
AMY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3117 N HWY 81, DUNCAN, OK 73533-9283
(580) 252-0140
(580) 252-0143
Mailing address
3117 N HWY 81, DUNCAN, OK 73533-9283
(580) 252-0140
(580) 252-0143
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
183500000X
Pharmacist
Primary
15121
OK
1835G0303X
Geriatric Pharmacist
15121
OK
1835N1003X
Nutrition Support Pharmacist
15121
OK
208U00000X
Clinical Pharmacology Physician
15121
OK
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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