Provider Demographics
NPI:1548887961
Name:ROKEL LLC
Entity type:Organization
Organization Name:ROKEL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAKAMMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-224-2705
Mailing Address - Street 1:701 SIERRA AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-1885
Mailing Address - Country:US
Mailing Address - Phone:682-224-2705
Mailing Address - Fax:682-224-2705
Practice Address - Street 1:4501 E LANCASTER AVE # 105
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76103-3210
Practice Address - Country:US
Practice Address - Phone:682-224-2705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy