Amanda Rose

NPI #1467056002 in La Porte, Indiana

Provider Information

NPI Number: 1467056002
Entity Type: Individual
Name: Amanda Rose
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 24, 2020
Last Updated: Nov 24, 2020

Practice Location

Address: 1407 LINCOLNWAY
City: La Porte
State: Indiana
ZIP Code: 46350-3105
Phone: (219) 362-3446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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