Individual
MS. MAUREEN CAROL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
208 W IRONWOOD DR, COEUR D ALENE, ID 83814-2640
(208) 664-3185
(208) 664-3481
Mailing address
208 W IRONWOOD DR, COEUR D ALENE, ID 83814-2640
(208) 664-3185
(208) 664-3481
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CT21697
ID
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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