Individual
MARIAH ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
135 NE TERRY LN, GRANTS PASS, OR 97526-4801
(541) 471-2820
(541) 471-2819
Mailing address
1101 GRANTS PASS PKWY, GRANTS PASS, OR 97526-2333
(541) 474-7234
(541) 474-7240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
ORRPH0011172
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
ORRPH0011172
OR
Other
Enumeration date
07/28/2014
Last updated
04/26/2017
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