Individual
MS. CHERYL M ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
642 OLD LIVERPOOL RD, PHARMACANNIS, LIVERPOOL, NY 13088-6087
(315) 457-0425
Mailing address
642 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6087
(607) 753-7181
(607) 753-7181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043997
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02189944
—
NY
Enumeration date
10/16/2006
Last updated
02/08/2024
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