Individual
DR. DETRA LYNN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
915 N BROAD ST, NEW TAZEWELL, TN 37825-6633
(423) 626-5511
Mailing address
PO BOX 4298, HARROGATE, TN 37752-4298
(865) 585-1136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10870
TN
Other
Enumeration date
03/05/2007
Last updated
11/16/2023
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