Jonathan De Rosales, PHARMD

NPI #1992104863 in Freeport, Illinois

Provider Information

NPI Number: 1992104863
Entity Type: Individual
Name: Jonathan De Rosales, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 17, 2014
Last Updated: Aug 17, 2014

Practice Location

Address: 1045 W STEPHENSON ST
City: Freeport
State: Illinois
ZIP Code: 61032-4864
Phone: (815) 599-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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