Provider Demographics
NPI:1912079633
Name:ROSEWEIR, JEFFERY W (RPH)
Entity Type:Individual
Prefix:
First Name:JEFFERY
Middle Name:W
Last Name:ROSEWEIR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 POTOMAC AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-1980
Mailing Address - Country:US
Mailing Address - Phone:412-531-8354
Mailing Address - Fax:
Practice Address - Street 1:1600 POTOMAC AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-1980
Practice Address - Country:US
Practice Address - Phone:412-531-8354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033120L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist