ROGER L ROSE

WICKENBURG, AZ
NPI1518931302
Professional NameROGER ROSE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S015899)
Additional Taxonomies183500000X Pharmacist
(Licence: MO  2001029149)
183500000X Pharmacist
(Licence: IL  051037642)
183500000X Pharmacist
(Licence: IA  15754)
Enumeration Date2006-02-16
Last Update Date2019-06-12
Business Address
Mr. ROGER L ROSE RPh FASCP
520 ROSE LN
WICKENBURG, AZ 85390-1447
Phone number: 289-684-4380
Mailing Address
Mr. ROGER L ROSE RPh FASCP
1725 N AGUILA DR
WICKENBURG, AZ 85390-1101
Phone number: 928-231-7936