1346243672 ERNEST & SUSAN L ROALES

Community/Retail Pharmacy

Active

Basic Information

Organization Name
ERNEST & SUSAN L ROALES
Enumeration Date
May 31, 2005
Last Update
February 21, 2017
Authorized Official
ERNEST ROALES RPH
OWNER
Phone: (618) 945-3701

Practice Location

Address
208 N MAIN ST
BRIDGEPORT, IL 624171522
Phone
(618) 945-3701
Fax
(618) 945-3701

Mailing Address

Address
PO BOX 75
BRIDGEPORT, IL 624170075
Phone
(618) 945-3701
Fax
(618) 945-9382

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pharmacy
333600000X Pharmacy N/A N/A No
Compounding Pharmacy
Compounding Pharmacy
3336C0004X Pharmacy N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 054008755 IL Primary

Other Identifiers

Identifier Type State Issuer
2018808 01 N/A PK

Frequently Asked Questions

What is ERNEST & SUSAN L ROALES's NPI number?
ERNEST & SUSAN L ROALES's NPI number is 1346243672.
Which doctor has NPI number 1346243672?
The doctor with NPI number 1346243672 is ERNEST & SUSAN L ROALES.
What is ERNEST & SUSAN L ROALES's practice address?
ERNEST & SUSAN L ROALES's practice address is 208 N MAIN ST, BRIDGEPORT, IL, 624171522.
Which doctor practices at 208 N MAIN ST, BRIDGEPORT, IL, 624171522?
ERNEST & SUSAN L ROALES practices at 208 N MAIN ST, BRIDGEPORT, IL, 624171522.
What is ERNEST & SUSAN L ROALES's mailing address?
ERNEST & SUSAN L ROALES's mailing address is PO BOX 75, BRIDGEPORT, IL, 624170075.
What is ERNEST & SUSAN L ROALES's phone number?
ERNEST & SUSAN L ROALES's phone number is (618) 945-3701.
Who is (618) 945-3701?
(618) 945-3701 is the phone number for ERNEST & SUSAN L ROALES.
What is ERNEST & SUSAN L ROALES's specialty?
ERNEST & SUSAN L ROALES's specialty is Community/Retail Pharmacy.
What type of doctor is ERNEST & SUSAN L ROALES?
ERNEST & SUSAN L ROALES is a Community/Retail Pharmacy.
Is ERNEST & SUSAN L ROALES a Community/Retail Pharmacy?
Yes, ERNEST & SUSAN L ROALES is a Community/Retail Pharmacy.
Is ERNEST & SUSAN L ROALES still practicing?
Yes, ERNEST & SUSAN L ROALES is currently practicing.
Is ERNEST & SUSAN L ROALES accepting new patients?
ERNEST & SUSAN L ROALES may be accepting new patients. Please call their office at (618) 945-3701 to inquire about availability.
Is NPI 1346243672 still active?
Yes, NPI 1346243672 is currently active.
Where does ERNEST & SUSAN L ROALES practice?
ERNEST & SUSAN L ROALES practices in BRIDGEPORT, IL.