Individual
MRS. GEENA ELIZABETH NELLIS ROBOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0849
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022206
LA
183500000X
Pharmacist
E-15071
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-15071
MISSISSIPPI BOARD OF PHARMACY
MS
01
—
MA.003487
LOUISIANA BOARD OF PHARMACY-IMMUNIZATION
LA
Enumeration date
08/26/2017
Last updated
02/25/2019
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