Provider Demographics
NPI:1275759276
Name:LEWIS, ROSANNE JOSEPHINE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ROSANNE
Middle Name:JOSEPHINE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:ROSANNE
Other - Middle Name:JOSEPHINE
Other - Last Name:PICCOLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:7 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-3420
Mailing Address - Country:US
Mailing Address - Phone:215-957-9465
Mailing Address - Fax:
Practice Address - Street 1:1601 CHERRY ST
Practice Address - Street 2:SUITE 1700
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1321
Practice Address - Country:US
Practice Address - Phone:215-282-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP043911L183500000X
NJ28RI02913200183500000X
DEA1-0003360183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist