Individual provider · Type 1 NPI

Colvin Earl Robertson Jr., PharmD

Pharmacist · Tyler, TX

NPI number 1487009205 Active

Practice location

13027 State Highway 155 S Ste 200
Tyler, TX 75703-6564

Call (430) 562-9003 Map

Fax (430) 562-9004

Mailing address

4801 Troup Hwy Ste 402
Tyler, TX 75703-2358

Specialties and licenses

Taxonomy	Code	License
Pharmacist	183500000X	48543 (TX)
Pharmacist Primary	183500000X	PS36568 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1487009205

Colvin Earl Robertson Jr., PharmD's National Provider Identifier is 1487009205, issued on Apr 29, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tyler, TX. The record was last updated on Oct 5, 2021.