Randall Robertson

NPI 1700141843 · on the registry since 2012 · sole proprietor

Practice

Address: 6602 64th St Ne
Marysville, WA 98270
Phone: (360) 658-5218
Fax: (360) 658-5549
Organisation at this address: Washington Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-07-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington