Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERNEST PAUL ROALES
Active Sole ProprietorERNEST PAUL ROALES is a Pharmacist healthcare provider located in BRIDGEPORT, Illinois. NPI 1053810390 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · BRIDGEPORT, IL
Registration Details
- NPI Number
- 1053810390
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2018 (8.530475008802 yrs)
- Last Updated
- Feb 1, 2018
- License
-
051032960 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
208 N MAIN STBRIDGEPORT, IL, 624171522Browse IL providers · Browse ZIP 62417
- Phone
- 6189453701
- Fax
- 6189459382
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.