Individual
GARRISON ANGELO ROSATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
300 N 63RD ST, PHILADELPHIA, PA 19139-1101
(215) 476-2094
Mailing address
250 E WYNNEWOOD RD, APT G6, WYNNEWOOD, PA 19096-1548
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI03285300
NJ
183500000X
Pharmacist
Primary
RP442676
PA
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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