Individual
ANDRE ROSSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1000 GREENLEY RD, SONORA, CA 95370-5200
(209) 536-3699
Mailing address
1000 GREENLEY RD, SONORA, CA 95370-5200
(209) 536-3699
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 00019350
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH 00019350
PH 00019350
WA
Enumeration date
05/06/2014
Last updated
05/06/2014
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