Organization
SNYDER-MARK ROSELLE DRUGS INC
Active
Other names
MARK DRUGS ROSELLE
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MANDEL (OWNER)
(630) 529-3400
Entity
Organization
Contact information
Practice address
384 E IRVING PARK RD, ROSELLE, IL 60172-2007
(630) 529-3400
(630) 529-3429
Mailing address
384 E IRVING PARK RD, ROSELLE, IL 60172-2007
(630) 529-3400
(630) 529-3429
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.009954
IL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020526
PK
—
05
—
363716954001
—
IL
Enumeration date
10/12/2006
Last updated
03/31/2016
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