Individual
HENRY L ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1306 12TH AVE NW, ARDMORE, OK 73401-1285
(580) 226-2684
(580) 226-3902
Mailing address
1306 12TH AVE NW, ARDMORE, OK 73401-1285
(580) 226-2684
(580) 226-3902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8409
OK
Other
Enumeration date
09/09/2005
Last updated
03/24/2008
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