Individual
CHARLES ROBERTS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
597 DONALD C. MOORE DRIVE, LEBANON, VA 24266
(276) 254-9656
Mailing address
597 DONALD C. MOORE DR, LEBANON, VA 24266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000036205
TN
183500000X
Pharmacist
Primary
0202210749
VA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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