Individual
MRS. SHARON J. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5050 N NEVADA AVE, ATTN: COSTCO PHARMACY, COLORADO SPRINGS, CO 80918-8602
(719) 264-5019
(719) 264-5016
Mailing address
5050 N NEVADA AVE, ATTN: COSTCO PHARMACY, COLORADO SPRINGS, CO 80918-8602
(719) 264-5019
(719) 264-5016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202012857
VA
183500000X
Pharmacist
Primary
19254
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202012857
VA RPH LICENSE
VA
01
—
19254
GA RPH LICENSE
GA
01
—
PHA.0020325
COLORADO BOARD OF PHARMACY
CO
01
—
PS45771
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
01/18/2006
Last updated
07/11/2016
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