Individual
SANDRA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
723 WHITTIER ST, WHITING, IA 51063-1035
(712) 458-2500
(712) 458-2963
Mailing address
25049 HOLLY AVE, ONAWA, IA 51040-8696
(712) 423-2068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10783
NE
183500000X
Pharmacist
Primary
16649
IA
Other
Enumeration date
04/18/2007
Last updated
02/08/2016
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