Individual
JOHN HARLEY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 GLENN BLVD SW, FT PAYNE, AL 35968
(256) 997-1194
(256) 997-1196
Mailing address
2001 GLENN BLVD SW, FT PAYNE, AL 35968
(256) 997-1194
(256) 997-1196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8056
AL
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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