Provider Demographics
NPI:1386192003
Name:ROSKO, BENJAMIN CHARLES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:CHARLES
Last Name:ROSKO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 VERSAILLES AVE
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-2036
Mailing Address - Country:US
Mailing Address - Phone:412-673-7147
Mailing Address - Fax:412-673-2037
Practice Address - Street 1:2301 VERSAILLES AVE
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2036
Practice Address - Country:US
Practice Address - Phone:412-673-7147
Practice Address - Fax:412-673-2037
Is Sole Proprietor?:No
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446762183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist