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Individual

MRS. CATHERINE ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1910 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1712
(516) 794-0616
(516) 794-2562
Mailing address
1910 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1712
(516) 794-0616
(516) 794-2562

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
046523
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01457345
NY
Enumeration date
12/13/2007
Last updated
12/13/2007
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