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NPI Code Detail

MEDICARE: DR. DAWN MICHELLE ROSALES R.PH., PHARM.D.

MEDICARE: DR. DAWN MICHELLE ROSALES R.PH., PHARM.D.
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
1183500000XPharmacistPS33068FL

General Provider Information

NPI Number : 1205118544
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAWN MICHELLE ROSALES R.PH., PHARM.D.
Provider Business Mailing Address
First Line : 7872 NW 193RD TER
Second Line :
City : HIALEAH
State : FL
Zip : 33015-6347
Country : US
Telephone Number : 305-816-9907
Fax Number :
Provider Business Practice Location Address
First Line : 600 ANSIN BLVD
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-2118
Country : US
Telephone Number : 954-874-4646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2011
Last Update Date : 09/13/2011

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