Individual
LISA M ROSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
238 CHURCH ST, NAYTAHWAUSH, MN 56566-0039
(218) 935-2238
(218) 935-5337
Mailing address
PO BOX 39, NAYTAHWAUSH, MN 56566-0039
(218) 935-2238
(218) 935-5337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3558
MT
Other
Enumeration date
08/29/2005
Last updated
07/08/2007
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