Individual
MICHELLE ANN ROLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6215 RIVERSIDE AVE, RIVERSIDE, CA 92506-2179
(951) 781-0146
(951) 781-0816
Mailing address
7651 AYR CT, RIVERSIDE, CA 92508-6094
(951) 533-6603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
61403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61403
—
CA
Enumeration date
12/18/2019
Last updated
12/18/2019
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