Provider Demographics
NPI:1053910299
Name:ROZARIO, SUZETTE SMRITI (PHARMD)
Entity type:Individual
Prefix:
First Name:SUZETTE
Middle Name:SMRITI
Last Name:ROZARIO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4475 TEN OAKS RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:MD
Mailing Address - Zip Code:21036-1130
Mailing Address - Country:US
Mailing Address - Phone:240-205-2411
Mailing Address - Fax:
Practice Address - Street 1:7955 BAYSIDE RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE BEACH
Practice Address - State:MD
Practice Address - Zip Code:20732-3112
Practice Address - Country:US
Practice Address - Phone:410-257-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist