Individual
DOROTHY ELAINE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3101 E 17TH ST, AMMON, ID 83406-6717
(208) 522-4824
(208) 523-6830
Mailing address
3101 E 17TH ST, AMMON, ID 83406-6717
(208) 522-4824
(208) 523-6830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5606
ID
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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