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NPI Code Detail

MEDICARE: ROSELLE DAWN TESORO

MEDICARE:   ROSELLE DAWN TESORO
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
1183500000XPharmacist0202223223VA

General Provider Information

NPI Number : 1932025129
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSELLE DAWN TESORO
Provider Business Mailing Address
First Line : 2116 ROCK LAKE LOOP
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-6159
Country : US
Telephone Number : 757-933-0233
Fax Number :
Provider Business Practice Location Address
First Line : 2800 ARCTIC AVE
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-3040
Country : US
Telephone Number : 757-422-2154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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Directions to “ ROSELLE DAWN TESORO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.