Provider Demographics
NPI:1013225028
Name:ROSENBAUER, ADRIENNE E (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:E
Last Name:ROSENBAUER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:E
Other - Last Name:DAHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 CORPORATE WOODS
Mailing Address - Street 2:SUITE 210D
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-1469
Mailing Address - Country:US
Mailing Address - Phone:585-784-8495
Mailing Address - Fax:
Practice Address - Street 1:30 CORPORATE WOODS
Practice Address - Street 2:SUITE 210D
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1469
Practice Address - Country:US
Practice Address - Phone:585-784-8495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-24
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054879183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist