MEDICARE: ROKEL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1548887961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROKEL LLC

Provider Business Mailing Address
First Line	:	701 SIERRA AVE
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-1885
Country	:	US
Telephone Number	:	682-224-2705
Fax Number	:	682-224-2705

Provider Business Practice Location Address
First Line	:	4501 E LANCASTER AVE # 105
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76103-3210
Country	:	US
Telephone Number	:	682-224-2705
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ROY NWAKAMMA
Credential	:
Telephone Number	:	682-224-2705

Provider Enumeration Date	:	07/01/2020
Last Update Date	:	08/27/2020

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Directions to “ROKEL LLC ” Practice Location

Language	Start Address	Practice Location

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