Provider Demographics
NPI:1336917731
Name:ROZIC, MATTHEW A (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:A
Last Name:ROZIC
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 CHRISTOPHER WREN DR APT 107
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7367
Mailing Address - Country:US
Mailing Address - Phone:330-397-9333
Mailing Address - Fax:
Practice Address - Street 1:441 JANE ST
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2046
Practice Address - Country:US
Practice Address - Phone:330-397-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457242183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist