Individual
ADAM ROSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1500 E MAIN ST, COTTAGE GROVE, OR 97424-2208
(541) 942-7443
Mailing address
80717 SEARS RD, COTTAGE GROVE, OR 97424-9524
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10656
OR
Other
Enumeration date
11/30/2010
Last updated
12/31/2010
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