Provider Demographics
NPI:1407452964
Name:MYERS, ROSANNA LYNN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ROSANNA
Middle Name:LYNN
Last Name:MYERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:ROSANNA
Other - Middle Name:LYNN
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:4600 HIGH POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-2447
Mailing Address - Country:US
Mailing Address - Phone:717-558-4151
Mailing Address - Fax:717-558-4161
Practice Address - Street 1:4600 HIGH POINTE BLVD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-2447
Practice Address - Country:US
Practice Address - Phone:717-558-4151
Practice Address - Fax:717-558-4161
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041756L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist