Organization
ROBERTA DRUG CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L BELL RPH (PRESIDENT)
(478) 836-3515
Entity
Organization
Contact information
Practice address
4 WRIGHT AVE, ROBERTA, GA 31078
(478) 836-3515
(478) 836-3319
Mailing address
PO BOX 418, ROBERTA, GA 31078-0418
(478) 836-3515
(478) 836-3319
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
003212
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00035142A
—
GA
Enumeration date
02/20/2007
Last updated
09/09/2008
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