Individual
MRS. KARRIE ANN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1710 APPLE GLEN BLVD, FORT WAYNE, IN 46804-1725
(260) 432-9330
Mailing address
9008 SEA WIND PL, FORT WAYNE, IN 46804-4820
(260) 241-1268
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016399A
IN
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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