Jerold A McKenzie
Jerold A McKenzie is a Pharmacy in Roscoe, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
4860 Hononegah RdRoscoe, IL 61073-7777
Phone: (815) 623-7798
Fax: (815) 623-9479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 051.039948 (IL) |
|---|---|
| Pharmacy | Taxonomy 333600000X · Licence 051.039948 (IL) |
Record details
| NPI number | 1821574823 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2018 |
| Last updated in NPPES | July 13, 2018 |
| Mailing address | 4860 Hononegah Rd, Roscoe, IL 61073-7777 |