Provider Demographics
NPI:1982980108
Name:ROSIN, BARRY J (RPH)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:J
Last Name:ROSIN
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 1:11283 N WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34432-8358
Mailing Address - Country:US
Mailing Address - Phone:352-489-2864
Mailing Address - Fax:352-489-2360
Practice Address - Street 1:11283 N WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34432-8358
Practice Address - Country:US
Practice Address - Phone:352-489-2864
Practice Address - Fax:352-489-2360
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS19254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist