Organization
ROBERDS SPECIALTY PHARMACY LLC
Active
Other names
Roberds Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VAN TRAN (OWNER)
(936) 756-4254
Entity
Organization
Contact information
Practice address
2510 S LOOP 336 W STE 105, CONROE, TX 77304-3737
(936) 756-4254
(936) 756-6252
Mailing address
503 MEDICAL CENTER BLVD STE 130, CONROE, TX 77304-2928
(936) 756-4254
(936) 756-6252
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
30619
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148513
—
TX
01
—
2156162
PK
—
Enumeration date
07/22/2006
Last updated
11/27/2020
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