Individual
COURTNEY ELISE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1313 S DALE MABRY HWY, TAMPA, FL 33629-5010
(813) 258-9301
Mailing address
1313 S DALE MABRY HWY, TAMPA, FL 33629-5010
(813) 258-9301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS50859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS50859
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
09/18/2013
Last updated
09/18/2013
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