Individual
ANGIE KAY ROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
515 CARLYLE AVE, BELLEVILLE, IL 62221-6223
(618) 222-1827
Mailing address
515 CARLYLE AVE, BELLEVILLE, IL 62221-6223
(618) 222-1827
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051286649
IL
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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