Individual provider · Type 1 NPI

Detra Lynn Robertson, PharmD

Pharmacist · New Tazewell, TN

NPI number 1558490482 Active

Practice location

915 N Broad St
New Tazewell, TN 37825-6633

Call (423) 626-5511 Map

Mailing address

PO Box 4298
Harrogate, TN 37752-4298

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X10870 (TN)

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 1558490482

Detra Lynn Robertson, PharmD's National Provider Identifier is 1558490482, issued on Mar 5, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in New Tazewell, TN. The record was last updated on Nov 16, 2023.