Organization
ROOTS PHARMACY SOLUTIONS
Active
Other names
ROOTS PHARMACY SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE RORTSART (PRESIDENT)
(801) 885-5959
Entity
Organization
Contact information
Practice address
960 RAND RD, STE 101, DES PLAINES, IL 60016-2352
(847) 827-1900
(847) 827-3600
Mailing address
960 RAND RD, STE 101, DES PLAINES, IL 60016-2352
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016414
IL
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1481922
OTHER ID NUMBER
—
Enumeration date
04/29/2008
Last updated
10/08/2008
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