Healthcare Provider Details

I. General information

NPI: 1689966509
Provider Name (Legal Business Name): ANNEMARIE ELIZABETH ROVINSKI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2011
Last Update Date: 05/19/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 W TILGHMAN ST
ALLENTOWN PA
18102-2139
US

IV. Provider business mailing address

1700 ST LUKES BLVD
EASTON PA
18045-5670
US

V. Phone/Fax

Practice location:
  • Phone: 570-434-2874
  • Fax: 610-435-3874
Mailing address:
  • Phone: 484-503-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP444118
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: