Robertson, Detra Lynn

Robertson, Detra Lynn is an individual health care provider with primary practice located at 915 N Broad St , New Tazewell TN 37825-6633. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Robertson, Detra Lynn can be contacted via phone (423) 626-5511.

Contact Information

Primary practice address
915 N Broad St New Tazewell TN 37825-6633
Phone: (423) 626-5511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10870 Tennessee

Profile Details

NPI number 1558490482
LBN Legal business name Robertson, Detra Lynn
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Nov 16th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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