Individual
ANITA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
209 W RIDGEWOOD AVE # 2B, PLEASANTVILLE, NJ 08232-3739
(516) 262-0072
Mailing address
25311 147TH DR, ROSEDALE, NY 11422-2823
(516) 262-0072
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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