Provider Demographics
NPI:1811592009
Name:ROBERTS, ANNABEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNABEL
Middle Name:
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 1:8500 JEFFERSON ST NE STE D
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-1884
Mailing Address - Country:US
Mailing Address - Phone:505-856-1660
Mailing Address - Fax:505-856-7141
Practice Address - Street 1:8500 JEFFERSON ST NE STE D
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-1884
Practice Address - Country:US
Practice Address - Phone:505-856-1660
Practice Address - Fax:505-856-7141
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP000055611835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric