Healthcare Provider Details

I. General information

NPI: 1497673008
Provider Name (Legal Business Name): NATALIE ROBERTSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 MICCOSUKEE RD
TALLAHASSEE FL
32308-5054
US

IV. Provider business mailing address

9022 FOXWOOD DR N
TALLAHASSEE FL
32309-9131
US

V. Phone/Fax

Practice location:
  • Phone: 850-431-5104
  • Fax: 850-431-6494
Mailing address:
  • Phone: 850-431-5104
  • Fax: 850-431-6494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number32639
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: