Organization · Type 2 NPI
Ernest & Susan L Roales
Community/Retail Pharmacy · Bridgeport, IL
Practice location
208 N Main St
Bridgeport, IL 62417-1522
Fax (618) 945-3701
Mailing address
PO Box 75
Bridgeport, IL 62417-0075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Community/Retail Pharmacy Primary | 3336C0003X | 054008755 (IL) |
| Compounding Pharmacy | 3336C0004X | None listed |
Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …
Another provider at this address
About NPI 1346243672
Ernest & Susan L Roales's National Provider Identifier is 1346243672, issued on May 31, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bridgeport, IL. The record was last updated on Feb 21, 2017.