Organization
NMMB ENTERPRISE LLC
Active
Other names
Rose Pharmacy and Boutique Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE ROSEBOROUGH EASTMAN PHARM D (PHARMACIST/ OWNER)
(704) 255-6172
Entity
Organization
Contact information
Practice address
20035 JETTON RD STE B, CORNELIUS, NC 28031-8277
(704) 255-6172
Mailing address
19701 BETHEL CHURCH RD STE 103-215, CORNELIUS, NC 28031-4072
(704) 578-4360
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
05/16/2022
Last updated
07/27/2022
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