Individual
ALISA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 MARTIN LUTHER KING PKWY, DURHAM, NC 27713-3450
(919) 544-6590
Mailing address
110 MAYODAN DR, CARY, NC 27511-4054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25427
NC
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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