Samantha Roberts

NPI #1982973178 in Magee, Mississippi

Provider Information

NPI Number: 1982973178
Entity Type: Individual
Name: Samantha Roberts
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 19, 2011
Last Updated: Dec 19, 2011

Practice Location

Address: 1628 SIMPSON HIGHWAY 49
City: Magee
State: Mississippi
ZIP Code: 39111-4294
Phone: (601) 849-4959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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