Individual
MRS. DANICA REESE ROBERTSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4700 NELSON BROGDON BLVD, STE 190, BUFORD, GA 30518
(770) 945-9526
(770) 945-1282
Mailing address
4179 DUNCAN IVES DRIVE, BUFORD, GA 30519
(770) 904-2647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020899
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107108
NABP
GA
Enumeration date
03/14/2006
Last updated
07/08/2007
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