Provider Demographics
NPI:1851463392
Name:ROSENBAUM, ROBERT A (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:ROSENBAUM
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 ELMHURST BLVD
Mailing Address - Street 2:
Mailing Address - City:CONCORDIA
Mailing Address - State:KS
Mailing Address - Zip Code:66901-3900
Mailing Address - Country:US
Mailing Address - Phone:785-243-4414
Mailing Address - Fax:785-243-1827
Practice Address - Street 1:8040 PARALLEL PKWY
Practice Address - Street 2:#250
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112
Practice Address - Country:US
Practice Address - Phone:913-596-0159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13680183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist