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NPI Code Detail

MEDICARE: TODD ROSEN PHARM.D.

MEDICARE: TODD ROSEN PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS42809FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS42809OTHERFLPHARMACY LICENSE NUMBER

General Provider Information

NPI Number : 1891033114
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD ROSEN PHARM.D.
Provider Business Mailing Address
First Line : 402 E DANIA BEACH BLVD
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004-3040
Country : US
Telephone Number : 954-920-7660
Fax Number : 954-920-7011
Provider Business Practice Location Address
First Line : 402 E DANIA BEACH BLVD
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004-3040
Country : US
Telephone Number : 954-920-7660
Fax Number : 954-920-7011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2013
Last Update Date : 01/21/2013

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Directions to “ TODD ROSEN PHARM.D.” Practice Location

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