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Individual

JOSE ROQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2600 S 108TH ST, WEST ALLIS, WI 53227-1926
(414) 545-0385
Mailing address
617 S LAYTON BLVD, MILWAUKEE, WI 53215-1222
(414) 418-3329

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2214240
WI

Other

Enumeration date
06/27/2023
Last updated
06/27/2023
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