MEDICARE: AMY D ROSNER R.PH.

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	03-1-15982	OH

General Provider Information

NPI Number	:	1982609368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY D ROSNER R.PH.

Provider Business Mailing Address
First Line	:	500 BEACON HILL DR
Second Line	:
City	:	ORANGE VILLAGE
State	:	OH
Zip	:	44022-2186
Country	:	US
Telephone Number	:	440-519-0309
Fax Number	:

Provider Business Practice Location Address
First Line	:	34301 AURORA RD
Second Line	:
City	:	SOLON
State	:	OH
Zip	:	44139-3804
Country	:	US
Telephone Number	:	440-248-6500
Fax Number	:	440-258-0017

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	07/08/2007

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