Provider Demographics
NPI:1538201678
Name:ROSENBERG, ESTHER E (PHARMD, PHC)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:E
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:PHARMD, PHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8216 MOSQUERO AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4932
Mailing Address - Country:US
Mailing Address - Phone:505-821-6382
Mailing Address - Fax:
Practice Address - Street 1:4005 HIGH RESORT
Practice Address - Street 2:RIO RANCHO PRESBYTERIAN MEDICAL CENTER
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124
Practice Address - Country:US
Practice Address - Phone:505-462-8004
Practice Address - Fax:505-462-8476
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5255183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist