# JOHN R ROSA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669081956
- **Gender:** Man
- **Credential:** PHARMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 0202221730 | VA | — |
| 183500000X | Pharmacist | 023980 | KY | — |
| 183500000X | Pharmacist | 1-109420 | KS | Yes |
| 183500000X | Pharmacist | 2021051192 | MO | — |
| 183500000X | Pharmacist | 5302415724 | MI | — |

## Other

- **Enumeration date:** 07/23/2020
- **Last updated:** 12/08/2023