Individual
DR. SAMANTHA K ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6046
Mailing address
1831 SAN LUCAS LN, FENTON, MO 63026-3229
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
051.292370
IL
1835P1200X
Pharmacotherapy Pharmacist
Primary
2008018190
MO
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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