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Individual
REBECCA J ROTTERMAN
Active
Individual
REBECCA J ROTTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R PH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041356
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041356
PHCY LICENSE
MO
Enumeration date
11/09/2006
Last updated
05/19/2016
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