Individual
JOHN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5400 N PORT WASHINGTON RD, GLENDALE, WI 53217-4918
(414) 967-0457
Mailing address
410 E GREEN TREE RD, FOX POINT, WI 53217-3803
(414) 702-9973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14246-40
WI
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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