Individual
ROGER ERIC OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4622 MORMON COULEE RD, LA CROSSE, WI 54601-8224
(608) 788-9146
(608) 788-9144
Mailing address
4622 MORMON COULEE RD, LA CROSSE, WI 54601-8224
(608) 788-9146
(608) 788-9144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14105-40
WI
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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