Individual
SUSAN RENEE ROSENAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
322 S STATE ST, FAIRMONT, MN 56031-4139
(507) 238-2797
(507) 238-4701
Mailing address
1201 HIGHLAND DRIVE, BLUE EARTH, MN 56013
(507) 526-3950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117225-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117225-4
PHARMACY LICENSE
MN
Enumeration date
02/02/2007
Last updated
07/08/2007
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