# SNYDER-MARK ROSELLE DRUGS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MARK DRUGS ROSELLE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316036965
- **Authorized official:** MARK MANDEL (OWNER)
- **Authorized official phone:** (630) 529-3400

## Contact information

- **Practice address:** 384 E IRVING PARK RD, ROSELLE, IL 60172-2007
- **Practice address phone:** (630) 529-3400
- **Practice address fax:** (630) 529-3429
- **Mailing address:** 384 E IRVING PARK RD, ROSELLE, IL 60172-2007
- **Mailing address phone:** (630) 529-3400
- **Mailing address fax:** (630) 529-3429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054.009954 | IL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 03/31/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2020526 | PK | — |
| 05 | — | 363716954001 | — | IL |