Individual
SAMUEL PAUL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1571 N STATE ST, GREENFIELD, IN 46140-1066
(317) 467-8981
Mailing address
4506 W LAKE POTOMAC VW APT G, GREENFIELD, IN 46140-7359
(317) 657-0153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26028300A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26028300A
IN
Other
Enumeration date
11/23/2019
Last updated
02/02/2020
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