MEDICARE: ROSE DRUGS INC.

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	PH 18452	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1095391	OTHER		NABP/NCPDP

General Provider Information

NPI Number	:	1689673485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSE DRUGS INC.

Provider Business Mailing Address
First Line	:	4810 N NEBRASKA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-4018
Country	:	US
Telephone Number	:	813-232-7673
Fax Number	:	813-234-2454

Provider Business Practice Location Address
First Line	:	4810 N NEBRASKA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-4018
Country	:	US
Telephone Number	:	813-232-7673
Fax Number	:	813-234-2454

Authorized Official
Title or Position	:	PHARMACIST/ STORE OWNER
Name	:	MS. ROSE V. FERLITA
Credential	:	RPH
Telephone Number	:	813-232-7673

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	08/22/2020

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Directions to “ROSE DRUGS INC. ” Practice Location

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