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KENNETH CARLIN ROOSE

Pharmacist

NPI: 1790566404Individual

Specialties, Licenses & Credentials

PharmacistPrimary

Pharmacist

Code: 183500000X

P10920(ID)

Contact & Hours

Address
3250 E 17TH ST
AMMON, ID 83406

Quick Facts

NPI
1790566404
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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