Individual
JEREMY DANIEL ROGOSHESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
17 DIVISION ST, WAITE PARK, MN 56387-1349
(320) 203-1035
(320) 253-4273
Mailing address
17 DIVISION ST, WAITE PARK, MN 56387-1349
(320) 203-1035
(320) 253-4273
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119925
MN
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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