Individual
MR. DERRICK ANDREW ROSKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
230 MADISON ST, WAUKESHA, WI 53188-5148
(262) 542-9935
Mailing address
9075 W SURA LN UNIT 302, GREENFIELD, WI 53228-3550
(414) 322-3378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21421-40
WI
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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