Individual
DR. MARK B ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM-D
Contact information
Practice address
3699 HIWAY 95, STE 100, BULLHEAD CITY, AZ 86442-9118
(928) 704-5065
(928) 704-5075
Mailing address
3699 HIWAY 95, STE 100, BULLHEAD CITY, AZ 86442-9118
(928) 704-5065
(928) 704-5075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12780
NV
183500000X
Pharmacist
Primary
14451
AZ
Other
Enumeration date
01/29/2012
Last updated
01/29/2012
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