NPI 1073125951

Aaron Blake Rose

Practitioner Pharmacist Meridian, MS

Practice location

Address: 1415 24th Ave, Meridian, MS 39301-3930
Phone: (601) 693-5302

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence E-16546 (MS)

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Registry record

NPI: 1073125951
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2020
Record last updated: 20 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.