Individual
DR. JEFFREY ROBERT ROSENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS, BCNSP
Contact information
Practice address
26250 CACTUS AVE, MORENO VALLEY, CA 92555
(951) 486-6656
Mailing address
8265 LAVENDER LN, RIVERSIDE, CA 92508-3533
(702) 271-1233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
62291
CA
1835N1003X
Nutrition Support Pharmacist
62291
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
62291
CA
1835P1200X
Pharmacotherapy Pharmacist
Primary
62291
CA
Other
Enumeration date
06/20/2005
Last updated
06/24/2009
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