Organization
ROBERTSONS FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND ROBERTSON (OWNER PHCST)
(318) 539-5977
Entity
Organization
Contact information
Practice address
27 REYNOLDS ST, SPRINGHILL, LA 71075-3241
(318) 539-5977
(318) 539-4587
Mailing address
27 REYNOLDS ST, SPRINGHILL, LA 71075-3241
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1355IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100641407
—
AR
05
—
1250171
—
LA
01
—
1915505
OTHER ID NUMBER
—
Enumeration date
01/23/2007
Last updated
09/12/2007
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