Individual
JONATHAN DE ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-6000
Mailing address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051297755
IL
Other
Enumeration date
08/17/2014
Last updated
08/17/2014
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