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NPI Code Detail

MEDICARE: DENISE ROQUE PHARMD

MEDICARE:   DENISE  ROQUE  PHARMD
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
1183500000XPharmacist1-14441KS
2183500000XPharmacist2008027468MO

General Provider Information

NPI Number : 1174890875
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE ROQUE PHARMD
Provider Business Mailing Address
First Line : 25130 W 105TH TER
Second Line :
City : OLATHE
State : KS
Zip : 66061-7654
Country : US
Telephone Number : 785-249-4050
Fax Number :
Provider Business Practice Location Address
First Line : 3537 BROADWAY BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2501
Country : US
Telephone Number : 816-561-1933
Fax Number : 816-753-5938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2011
Last Update Date : 04/23/2020

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Directions to “ DENISE ROQUE PHARMD” Practice Location

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