Individual
MICHAEL ROLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5000
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026694A
IN
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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