Individual ProviderColvin Earl RobertsonPharmacistPharmacy Service ProvidersPractice Address13027 State Highway 155 S Ste 200, Tyler, TX 75703-6564(430) 562-9003(039) 617-6885PECOS EnrollmentBased on the most recent information from CMS, provider Colvin Earl Robertson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1487009205Provider TypeIndividualFull NameRobertson, Colvin EarlTitleDr.CredentialPHARM.D.GenderMaleSole ProprietorNoEnumeration Date4/29/2016Last Updated10/5/2021Contact InformationPractice LocationPractice Address13027 State Highway 155 S Ste 200, Tyler, TX 75703-6564Phone(430) 562-9003Fax(430) 562-9004Mailing LocationMailing Address4801 Troup Hwy Ste 402, Tyler, TX 75703-2358Phone(039) 617-6885Fax(903) 792-9114Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicensePS36568FloridaCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicense48543Texas