Individual
CULLIE TAYLOR ROBERTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
301 HOSPITAL DR, CLEVELAND, MS 38732-2358
(662) 843-3654
(662) 843-3622
Mailing address
1005 ROSEMARY RD, CLEVELAND, MS 38732-2073
(662) 843-3416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E7319
MS
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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