Individual
SAMANTHA LY ROSERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8707 SKOKIE BLVD STE 208, SKOKIE, IL 60077-2272
(312) 623-5595
Mailing address
8707 SKOKIE BLVD STE 208, SKOKIE, IL 60077-2272
(312) 623-5595
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
H5B5J7Q7
IL
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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