Individual
DR. BERGANDI ROSE CARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1600 W MAIN ST, CARBONDALE, IL 62901-2120
(618) 457-8397
(618) 549-3052
Mailing address
814 TIPPIT ST, CARTERVILLE, IL 62918-1270
(618) 771-7223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051303522
IL
Other
Enumeration date
11/09/2020
Last updated
08/11/2023
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