Individual
KARLYNN ROECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
730 TENNEY ST, KEWANEE, IL 61443-3702
(309) 852-4676
Mailing address
103 W DIVISION ST, KEWANEE, IL 61443-3481
(309) 852-0342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051038680
IL
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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