Provider Demographics
NPI:1598087769
Name:ANDERSON, ROSEMARY (RPH)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 ADAMS HILL DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8769
Mailing Address - Country:US
Mailing Address - Phone:502-875-5997
Mailing Address - Fax:502-875-5925
Practice Address - Street 1:1300 US HIGHWAY 127 S
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4395
Practice Address - Country:US
Practice Address - Phone:502-875-5997
Practice Address - Fax:502-875-5925
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007582183500000X
AL007902 16395183500000X
OH03129872183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist