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Individual
MR. ROGER L ROSE
Active
Individual
MR. ROGER L ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH FASCP
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051037642
IL
183500000X
Pharmacist
15754
IA
183500000X
Pharmacist
2001029149
MO
183500000X
Pharmacist
Primary
S015899
AZ
Other
Enumeration date
02/16/2006
Last updated
06/12/2019
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