Organization
ROBERTS PHARMACY INC
Active
Other names
ROBERTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA RATHEL (STORE MANG/OWNER)
(229) 524-2313
Entity
Organization
Contact information
Practice address
803 N WILEY AVE, DONALSONVILLE, GA 39845-1121
(229) 524-2313
(229) 524-1202
Mailing address
PO BOX 157, DONALSONVILLE, GA 39845-0157
(229) 524-2313
(229) 524-1202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE004506
GA
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000035153A
—
GA
01
—
2012326
PK
—
Enumeration date
09/06/2006
Last updated
04/13/2020
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