Individual
ALAN ROSCELLI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
4725 QUAIL LAKES DR, STOCKTON, CA 95207-5243
(209) 952-3599
Mailing address
4344 YACHT HARBOR DR, STOCKTON, CA 95204-1126
(209) 942-4344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30684
CA
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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