Provider Demographics
NPI:1255032686
Name:ROZSA, ADELE
Entity type:Individual
Prefix:
First Name:ADELE
Middle Name:
Last Name:ROZSA
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:PO BOX 292
Mailing Address - Street 2:
Mailing Address - City:TOPOCK
Mailing Address - State:AZ
Mailing Address - Zip Code:86436-0292
Mailing Address - Country:US
Mailing Address - Phone:928-444-2468
Mailing Address - Fax:
Practice Address - Street 1:1020 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEEDLES
Practice Address - State:CA
Practice Address - Zip Code:92363-3809
Practice Address - Country:US
Practice Address - Phone:760-326-2944
Practice Address - Fax:760-326-6290
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician