Provider Demographics
NPI:1619963220
Name:ROSENBERGER, DARRELL G (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:DARRELL
Middle Name:G
Last Name:ROSENBERGER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 ROXBERRY DR
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-8963
Mailing Address - Country:US
Mailing Address - Phone:610-927-3520
Mailing Address - Fax:
Practice Address - Street 1:1112 W WYOMISSING BLVD # PA
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-2259
Practice Address - Country:US
Practice Address - Phone:610-775-3409
Practice Address - Fax:610-775-0507
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP046047L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP046047LOtherPA STATE LICENSE