Provider Demographics
NPI:1750195137
Name:ROSE INFUSION SERVICES INC
Entity type:Organization
Organization Name:ROSE INFUSION SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:BONANNO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:954-432-8290
Mailing Address - Street 1:10008 PINES BLVD # A
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6137
Mailing Address - Country:US
Mailing Address - Phone:954-432-8290
Mailing Address - Fax:954-432-8295
Practice Address - Street 1:10008 PINES BLVD # A
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6137
Practice Address - Country:US
Practice Address - Phone:954-432-8290
Practice Address - Fax:954-432-8295
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROSE NURSING & PHARMACY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-05
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy