Provider Demographics
NPI:1639772668
Name:ROHN, ROXANNE A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROXANNE
Middle Name:A
Last Name:ROHN
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:CVS PHARMACY
Mailing Address - Street 2:467 MANDALAY AVENUE
Mailing Address - City:CLEARWATER BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33767
Mailing Address - Country:US
Mailing Address - Phone:727-447-6429
Mailing Address - Fax:727-441-1619
Practice Address - Street 1:CVS PHARMACY
Practice Address - Street 2:467 MANDALAY AVENUE
Practice Address - City:CLEARWATER BEACH
Practice Address - State:FL
Practice Address - Zip Code:33767
Practice Address - Country:US
Practice Address - Phone:727-447-6429
Practice Address - Fax:727-441-1619
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS27097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist