JASON I ROLLA

CHRISTOPHER, IL
NPI1316954472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: IL  049166574)
Enumeration Date2006-08-02
Last Update Date2007-07-08
Business Address
-- JASON I ROLLA Pharmacy Tech
4241 HWY 14 WEST REA CLINIC
CHRISTOPHER, IL 62822
Phone number: 618-724-2136
Mailing Address
-- JASON I ROLLA Pharmacy Tech
PO BOX 155 REA CLINIC
CHRISTOPHER, IL 62822
Phone number: 618-724-2401