Individual
DR. SHANTA LORIEN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
616 MARKET ST, MEDFORD, OR 97504-6126
(541) 451-7565
Mailing address
1112 LUZON LN, GRANTS PASS, OR 97527-5213
(541) 451-7565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10845
OR
Other
Enumeration date
02/15/2007
Last updated
10/30/2025
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