Ernest & Susan L Roales
Ernest & Susan L Roales is a Pharmacy in Bridgeport, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
208 N Main StBridgeport, IL 62417-1522
Phone: (618) 945-3701
Fax: (618) 945-3701
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 054008755 (IL) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Compounding Pharmacy | Taxonomy 3336C0004X |
Record details
| NPI number | 1346243672 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ernest Roales — Owner · (618) 945-3701 |
| Other names | Scotts Drugs |
| NPI enumerated | May 31, 2005 |
| Last updated in NPPES | February 21, 2017 |
| Mailing address | Po Box 75, Bridgeport, IL 62417-0075 |