MEDICARE: MRS. EVELYN DEL ROSARIO RPH

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
1	183500000X	Pharmacist	39243	CA

General Provider Information

NPI Number	:	1053845511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EVELYN DEL ROSARIO RPH

Provider Business Mailing Address
First Line	:	11426 WASHINGTON BLVD
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90606-3122
Country	:	US
Telephone Number	:	562-695-4474
Fax Number	:

Provider Business Practice Location Address
First Line	:	11426 WASHINGTON BLVD
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90606-3122
Country	:	US
Telephone Number	:	562-695-4474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2017
Last Update Date	:	04/11/2017

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