Healthcare Provider Details

I. General information

NPI: 1619963220
Provider Name (Legal Business Name): DARRELL G ROSENBERGER PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 11/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 W WYOMISSING BLVD # PA
WEST LAWN PA
19609-2259
US

IV. Provider business mailing address

26 ROXBERRY DR
SINKING SPRING PA
19608-8963
US

V. Phone/Fax

Practice location:
  • Phone: 610-775-3409
  • Fax: 610-775-0507
Mailing address:
  • Phone: 610-927-3520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP046047L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: