Most Relevant Information
Provider Data
| NPI Number: | 1003418385 |
| Provider Name: | CLYDE LLOYD ROBERTS |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 15255 |
Most Important Dates
| Enumeration Date: | 11/12/2020 |
| Last Updated: | 11/12/2020 |
Provider Practice Location
401 CONSTANT FRIENDSHIP BLVD
ABINGDON
MD
210092566
Practice Location Phone/Fax
| Phone: | 4105699406 |
| Fax: | 4105694681 |
Provider Mailing Location
401 CONSTANT FRIENDSHIP BLVD
ABINGDON
MD
210092566
Provider Mailing Phone/Fax
| Phone: | 4105699406 |
| Fax: | 4105694681 |