Provider Demographics
NPI:1265731343
Name:ROSSER, CARTER WHITE (RPH)
Entity type:Individual
Prefix:MRS
First Name:CARTER
Middle Name:WHITE
Last Name:ROSSER
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 1:8702 STAPLES MILL RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2721
Mailing Address - Country:US
Mailing Address - Phone:804-264-9634
Mailing Address - Fax:804-264-4671
Practice Address - Street 1:8702 STAPLES MILL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2721
Practice Address - Country:US
Practice Address - Phone:804-264-9634
Practice Address - Fax:804-264-4671
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202004823183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist