Individual
MR. GARY ALLAN ROSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3998 NW URBANDALE DR, URBANDALE, IA 50322-7922
(515) 278-0117
(515) 278-6165
Mailing address
PO BOX 42311, URBANDALE, IA 50323-0985
(515) 727-5689
(515) 727-5689
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IA-15548
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0298463
—
IA
Enumeration date
11/24/2006
Last updated
07/09/2007
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