Provider Demographics
NPI:1033772769
Name:ROWLAND, WILLIAM MERVIN JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:MERVIN
Last Name:ROWLAND
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2921 TOUPAL DR
Mailing Address - Street 2:
Mailing Address - City:TRINIDAD
Mailing Address - State:CO
Mailing Address - Zip Code:81082-8740
Mailing Address - Country:US
Mailing Address - Phone:303-666-8544
Mailing Address - Fax:719-846-3350
Practice Address - Street 1:2921 TOUPAL DR
Practice Address - Street 2:
Practice Address - City:TRINIDAD
Practice Address - State:CO
Practice Address - Zip Code:81082-8740
Practice Address - Country:US
Practice Address - Phone:719-846-3358
Practice Address - Fax:719-846-3350
Is Sole Proprietor?:No
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11504183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist