Individual
BERNARD ROSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RX
Contact information
Practice address
1071 11TH ST, LAKEPORT, CA 95453-4105
(707) 263-8779
Mailing address
1071 11TH ST, LAKEPORT, CA 95453-4105
(707) 263-8779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23895
CA
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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