Individual
DR. EMILY LARA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-4466
Mailing address
2122 S 49TH AVE, OMAHA, NE 68106-3240
(402) 556-3989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11678
NE
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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