Individual
JOHN R ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
255 NW VICTORIA DR STE B, LEES SUMMIT, MO 64086-4709
(855) 937-7273
(844) 878-6793
Mailing address
255 NW VICTORIA DR STE B, LEES SUMMIT, MO 64086-4709
(855) 937-7273
(844) 878-6793
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202221730
VA
183500000X
Pharmacist
023980
KY
183500000X
Pharmacist
Primary
1-109420
KS
183500000X
Pharmacist
2021051192
MO
183500000X
Pharmacist
5302415724
MI
Other
Enumeration date
07/23/2020
Last updated
12/08/2023
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