Organization
ROBERTSONS NORTH HEIGHTS PHARMACY INC
Active
Other names
ROBERTSONS NORTH HEIGHTS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN ROBERTSON PD (OWNER AND PHARMACIST)
(870) 774-3666
Entity
Organization
Contact information
Practice address
1201 E 35TH ST, TEXARKANA, AR 71854-2746
(870) 774-3666
(870) 772-8062
Mailing address
1201 E 35TH ST, TEXARKANA, AR 71854-2746
(870) 774-3666
(870) 772-8062
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR06769
AR
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406769
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100585407
—
AR
05
—
5800533
—
TX
Enumeration date
10/07/2006
Last updated
03/21/2012
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