Healthcare Provider Details

I. General information

NPI: 1255032686
Provider Name (Legal Business Name): ADELE ROZSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2023
Last Update Date: 03/13/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 E BROADWAY ST
NEEDLES CA
92363-3809
US

IV. Provider business mailing address

PO BOX 292
TOPOCK AZ
86436-0292
US

V. Phone/Fax

Practice location:
  • Phone: 760-326-2944
  • Fax: 760-326-6290
Mailing address:
  • Phone: 928-444-2468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: