Provider Demographics
NPI:1437427218
Name:ROSINSKI, ADAM (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:
Last Name:ROSINSKI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LONE PINE LN
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9256
Mailing Address - Country:US
Mailing Address - Phone:570-850-9988
Mailing Address - Fax:
Practice Address - Street 1:57 S FRONT ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:PA
Practice Address - Zip Code:17847-1110
Practice Address - Country:US
Practice Address - Phone:570-246-5700
Practice Address - Fax:570-246-5705
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440423183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARPI005939OtherAUTHORIZATION TO ADMINISTER INJECTABLES
PARP440423OtherPHARMACY LICENSE