Individual
ELYSHA SAMANTHA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(618) 524-9368
(618) 524-9551
Mailing address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(618) 524-9368
(618) 524-9551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023607
GA
Other
Enumeration date
01/11/2013
Last updated
07/22/2015
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