Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERNEST & SUSAN L ROALES
Active OrganizationERNEST & SUSAN L ROALES is a Long-Term Care Pharmacy organization located in BRIDGEPORT, Illinois. NPI 1346243672 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · BRIDGEPORT, IL
Registration Details
- NPI Number
- 1346243672
- Provider Type
- Organization
- NPI Issued
- May 31, 2005 (21.195634158631 yrs)
- Last Updated
- Feb 21, 2017
- License
-
054008755 (IL)
Practice Information
- Address
-
208 N MAIN STBRIDGEPORT, IL, 624171522Browse IL providers · Browse ZIP 62417
- Phone
- 6189453701
- Fax
- 6189453701
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
- Additional Specialty
- Clinic Pharmacy
- Additional Specialty
- Long-Term Care Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.