Provider Demographics
NPI:1437588548
Name:TECZA, ROSEMARY MARGARET (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:MARGARET
Last Name:TECZA
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 1:676 BALD EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145-2541
Mailing Address - Country:US
Mailing Address - Phone:239-394-4181
Mailing Address - Fax:
Practice Address - Street 1:676 BALD EAGLE DR
Practice Address - Street 2:
Practice Address - City:MARCO ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34145-2541
Practice Address - Country:US
Practice Address - Phone:239-394-4181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS51291183500000X
OH03132132183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS51291OtherPHARMACIST LICENSE
OH03132132OtherPHARMACIST LICENSE