Individual
DANIEL LEE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA, BCPS
Contact information
Practice address
551 SEA BISCUIT CT, JOHNSON CITY, TN 37604-3487
(423) 844-2853
Mailing address
551 SEA BISCUIT CT, JOHNSON CITY, TN 37604-3487
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40420
TN
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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