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Individual

DENISE ROQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3537 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 561-1933
(816) 753-5938
Mailing address
25130 W 105TH TER, OLATHE, KS 66061-7654
(785) 249-4050

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-14441
KS
183500000X
Pharmacist
Primary
2008027468
MO

Other

Enumeration date
11/23/2011
Last updated
04/23/2020
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