Individual
MRS. BERNICE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2125 HIGHWAY 155 N, MCDONOUGH, GA 30252-4809
(678) 583-5592
(678) 583-1257
Mailing address
665 AUSTIN RD, ELLENWOOD, GA 30294-3221
(404) 219-5605
(678) 583-1257
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH012704
GA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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