MEDICARE: ROSE GUZZI

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	4501	WV

General Provider Information

NPI Number	:	1285931253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE GUZZI

Provider Business Mailing Address
First Line	:	338 BUCKHANNON AVE
Second Line	:
City	:	CLARKSBURG
State	:	WV
Zip	:	26301-3135
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 BUCKHANNON PIKE
Second Line	:
City	:	NUTTER FORT
State	:	WV
Zip	:	26301-4307
Country	:	US
Telephone Number	:	304-622-1204
Fax Number	:

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

Provider Enumeration Date	:	02/27/2011
Last Update Date	:	02/27/2011

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Directions to “ ROSE GUZZI ” Practice Location

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