Provider Demographics
NPI:1265527006
Name:ROCHESTER, CHARMAINE D (:PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHARMAINE
Middle Name:D
Last Name:ROCHESTER
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 1:4520 RUNNYMEADE RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6156
Mailing Address - Country:US
Mailing Address - Phone:601-363-7624
Mailing Address - Fax:410-706-4725
Practice Address - Street 1:10 NORTH GREENE STREET
Practice Address - Street 2:BALTIMORE VETERANS AFFAIRS
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-605-7000
Practice Address - Fax:410-605-7852
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD173521835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy