Provider Demographics
NPI:1407116262
Name:ROCKWELL COMPOUNDING ASSOCIATES, INC.
Entity Type:Organization
Organization Name:ROCKWELL COMPOUNDING ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:COSENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RPH
Authorized Official - Phone:914-925-2304
Mailing Address - Street 1:350 THEODORE FREMD AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-1573
Mailing Address - Country:US
Mailing Address - Phone:914-925-2304
Mailing Address - Fax:914-925-2310
Practice Address - Street 1:350 THEODORE FREMD AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-1573
Practice Address - Country:US
Practice Address - Phone:914-925-2304
Practice Address - Fax:914-925-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0264583336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy