Individual
STEPHANIE ANN ROUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6925 W 38TH ST, INDIANAPOLIS, IN 46254-3905
(314) 537-6372
Mailing address
175 FLOWER VALLEY SHOPPING CTR, FLORISSANT, MO 63033-1643
(314) 837-8052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2010029502
MO
Other
Enumeration date
08/17/2009
Last updated
05/09/2013
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