Provider Demographics
NPI:1376944215
Name:ROBERTS, ANNA Z (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:Z
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 N AVENUE H
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-3717
Mailing Address - Country:US
Mailing Address - Phone:337-785-3102
Mailing Address - Fax:337-785-3109
Practice Address - Street 1:1002 N PARKERSON AVE
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-3613
Practice Address - Country:US
Practice Address - Phone:337-785-3102
Practice Address - Fax:337-785-3109
Is Sole Proprietor?:No
Enumeration Date:2014-09-10
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMA.002126183500000X
LAPST.020752183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist