Individual
MR. GLENN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1156 MAPLE AVE, LISLE, IL 60532-2128
(630) 964-7100
(630) 964-2469
Mailing address
1156 MAPLE AVE, LISLE, IL 60532-2128
(630) 964-7100
(630) 964-2469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-029653
IL
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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