MEDICARE: COURTNEY ROZINEK 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	PS58429	FL

General Provider Information

NPI Number	:	1508413485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY ROZINEK RPH

Provider Business Mailing Address
First Line	:	4431 SANDNER DR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-3463
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10237 BAY PINES BLVD
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33708-3131
Country	:	US
Telephone Number	:	727-345-8319
Fax Number	:

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

Provider Enumeration Date	:	08/24/2019
Last Update Date	:	08/24/2019

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