Individual
DR. ALEX ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9350 HIGHWAY 49, GULFPORT, MS 39503-4213
(228) 865-0505
Mailing address
9350 HIGHWAY 49, GULFPORT, MS 39503-4213
(228) 865-0505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-15468
MS
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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