Individual
JASON ALAN ROEING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1701 E EMPIRE ST, BLOOMINGTON, IL 61704
(309) 662-7004
(309) 662-6650
Mailing address
4710 WHITE HORSE DR, GREENSBORO, NC 27410-9540
(336) 545-4460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.297481
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418298
—
NC
Enumeration date
09/24/2009
Last updated
07/13/2018
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