Individual
DR. DUSTIN MICHAEL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5960 CASTLEWAY WEST DR, INDIANAPOLIS, IN 46250-1977
(317) 579-8434
Mailing address
5960 CASTLEWAY WEST DR, INDIANAPOLIS, IN 46250-1977
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26022123A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26022123A
IN
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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