NPI 1003192659

Susan Robertson

Practitioner Pharmacist Keesler Afb, MS

Practice location

Address: 2306 Larcher Blvd, Keesler Afb, MS 39534
Phone: (228) 377-9791
Mailing address: 301 Fisher St Bx Pharmacy, Keesler Afb, MS 39534-2508

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence E-07122 (MS)

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Registry record

NPI: 1003192659
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2011
Record last updated: 27 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.