Organization
PHS HOSPITAL ROSEBUD PHARMACY
Active
Organization
PHS HOSPITAL ROSEBUD PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPHINE MOORE (CHIEF PHARMACIST)
(813) 340-4157
Entity
Organization
Contact information
Practice address
11810 GRAND PARK AVE STE 500, ROCKVILLE, MD 20852-8679
(240) 856-1393
(240) 856-1393
Mailing address
400 SOLDIER CREEK RD, ROSEBUD, SD 57570-0001
(605) 747-2356
(605) 747-5335
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5549093
—
SD
Enumeration date
04/06/2007
Last updated
05/08/2026
Update your record
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