Individual
DR. RANDALL SCOTT ROSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-1524
Mailing address
877 W CRESCENT ST, MERIDIAN, ID 83646-4764
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6798
ID
1835P1200X
Pharmacotherapy Pharmacist
P6798
ID
Other
Enumeration date
03/16/2015
Last updated
05/09/2024
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