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NPI Code Detail

MEDICARE: MARK ROSENBERG PHARM.D.

MEDICARE: MARK ROSENBERG 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
1183500000XPharmacist17347AL
2183500000XPharmacist20847NV

General Provider Information

NPI Number : 1316283948
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ROSENBERG PHARM.D.
Provider Business Mailing Address
First Line : 1611 SPRING GATE LN # 370784
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-6201
Country : US
Telephone Number : 205-482-4129
Fax Number :
Provider Business Practice Location Address
First Line : 4733 E PALM CANYON DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92264-5219
Country : US
Telephone Number : 760-324-8269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2012
Last Update Date : 02/29/2024

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Directions to “ MARK ROSENBERG PHARM.D.” Practice Location

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