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Organization
ROLET PHARMACY, INC
Active
Organization
ROLET PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AFZAL SIDDIQUI PHARMD, RPH (PHARMACIST)
(773) 994-7762
Entity
Organization
Contact information
Practice address
6032 S. HALSTED ST., CHICAGO, IL 60621
(773) 994-7762
(773) 994-2912
Mailing address
6032 S. HALSTED ST., CHICAGO, IL 60621
(773) 994-7762
(773) 994-2912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-041000
IL
183500000X
Pharmacist
051034263
IL
3336C0003X
Community/Retail Pharmacy
054-017812
IL
Other
Enumeration date
12/23/2006
Last updated
03/21/2013
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