Provider Demographics
NPI:1013512565
Name:ROGOWSKY, CHRISTINE DANIELLE
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:DANIELLE
Last Name:ROGOWSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4080 HUNT DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1151
Mailing Address - Country:US
Mailing Address - Phone:215-230-0323
Mailing Address - Fax:
Practice Address - Street 1:CVS #7863
Practice Address - Street 2:160 SOUTH MAIN STREET
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901
Practice Address - Country:US
Practice Address - Phone:215-230-1690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033117L1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care