Individual provider · Type 1 NPI
Larry T. Rolle, R.PH.
Pharmacist · Peoria, IL
Practice location
411 Martin Luther King Dr.
Peoria, IL 61605
Fax (309) 497-3567
Mailing address
145 Rue Vue Du Lac
East Peoria, IL 61611-1543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | None listed |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1497763197
Larry T. Rolle, R.PH.'s National Provider Identifier is 1497763197, issued on Aug 4, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.