Individual
JORDAN ROSEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3699 HWAY 95, BULLHEAD CITY, AZ 86442-9118
(928) 704-5065
Mailing address
3699 HWAY 95, BULLHEAD CITY, AZ 86442-9118
(928) 704-5065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18878
NV
183500000X
Pharmacist
Primary
S020979
AZ
Other
Enumeration date
10/27/2014
Last updated
06/17/2015
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