Individual
ELIZABETH CRENSHAW ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
495 VALLEY RD, MOCKSVILLE, NC 27028-2074
(336) 751-2141
(336) 751-7974
Mailing address
495 VALLEY RD, MOCKSVILLE, NC 27028-2074
(336) 751-2141
(336) 751-7974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12836
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305086
—
NC
Enumeration date
03/25/2015
Last updated
03/25/2015
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