Provider Demographics
NPI:1689279887
Name:ROHOSKY, BRENDA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:
Last Name:ROHOSKY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6204 ROUTE 30 STE A
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6399
Mailing Address - Country:US
Mailing Address - Phone:724-836-6779
Mailing Address - Fax:
Practice Address - Street 1:6204 ROUTE 30 STE A
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6399
Practice Address - Country:US
Practice Address - Phone:724-836-6779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039187L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist