Healthcare Provider Details

I. General information

NPI: 1568306611
Provider Name (Legal Business Name): ROSE NURSING & PHARMACY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10008 PINES BLVD
PEMBROKE PINES FL
33024-6137
US

IV. Provider business mailing address

10008 PINES BLVD
PEMBROKE PINES FL
33024-6137
US

V. Phone/Fax

Practice location:
  • Phone: 954-432-8290
  • Fax:
Mailing address:
  • Phone: 954-432-8290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHARLES BONANNO
Title or Position: PHARMACY DIRECTOR
Credential: PHARMD
Phone: 954-432-8290