Individual
KAYLA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
167 MAIN ST, TUBA CITY, AZ 86045
(866) 976-5941
Mailing address
701 2ND ST APT 4, HENNING, MN 56551-4014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6270
ND
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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