Susan Averitte Roerecke, R.PH.

NPI #1326519521 in Longview, Texas

Provider Information

NPI Number: 1326519521
Entity Type: Individual
Name: Susan Averitte Roerecke, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 110 JOHNSTON ST
City: Longview
State: Texas
ZIP Code: 75601-3999
Phone: (903) 758-6164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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