Provider Demographics
NPI:1437448321
Name:ROZANSKI, JENNINE ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JENNINE
Middle Name:ANN
Last Name:ROZANSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1086 TREASURE LK
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-9026
Mailing Address - Country:US
Mailing Address - Phone:814-372-0982
Mailing Address - Fax:
Practice Address - Street 1:431 COMMONS DR
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-3815
Practice Address - Country:US
Practice Address - Phone:814-371-4491
Practice Address - Fax:814-371-7054
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441296183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist