MEDICARE: MS. CHERYL L SMITH-ROSSETTI 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	15342	IA

General Provider Information

NPI Number	:	1427091529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHERYL L SMITH-ROSSETTI RPH

Provider Business Mailing Address
First Line	:	4348 BUCKINGHAM LN
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-9304
Country	:	US
Telephone Number	:	319-338-0581
Fax Number	:	319-339-7042

Provider Business Practice Location Address
First Line	:	4348 BUCKINGHAM LN
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-9304
Country	:	US
Telephone Number	:	319-338-0581
Fax Number	:	319-339-7042

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	07/08/2007

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