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Individual

REBECCA J ROTTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R PH

Contact information

Practice address
205 S 71 HWY, SAVANNAH, MO 64485
(816) 324-4211
(816) 324-4830
Mailing address
205 S 71 HWY, SAVANNAH, MO 64485
(816) 324-4211
(816) 324-4830

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041356
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041356
PHCY LICENSE
MO
Enumeration date
11/09/2006
Last updated
05/19/2016
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