Provider Demographics
NPI:1881621894
Name:ROSENTHALL, CHARLES H (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:H
Last Name:ROSENTHALL
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 COLERIDGE PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-1649
Mailing Address - Country:US
Mailing Address - Phone:412-782-2465
Mailing Address - Fax:412-782-3528
Practice Address - Street 1:512 BRINKER AVE
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1535
Practice Address - Country:US
Practice Address - Phone:724-539-8090
Practice Address - Fax:724-539-8130
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP022806L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist