# ROOTS PHARMACY SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ROOTS PHARMACY SOLUTIONS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033384003
- **Authorized official:** KYLE RORTSART (PRESIDENT)
- **Authorized official phone:** (801) 885-5959

## Contact information

- **Practice address:** 960 RAND RD, STE 101, DES PLAINES, IL 60016-2352
- **Practice address phone:** (847) 827-1900
- **Practice address fax:** (847) 827-3600
- **Mailing address:** 960 RAND RD, STE 101, DES PLAINES, IL 60016-2352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054016414 | IL | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 10/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1481922 | OTHER ID NUMBER | — |