Provider Demographics
NPI:1043722945
Name:ROLLAND, DEVINN KRISTEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:DEVINN
Middle Name:KRISTEN
Last Name:ROLLAND
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 1:1100 ROBLEY DR APT 1306
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5524
Mailing Address - Country:US
Mailing Address - Phone:504-444-3364
Mailing Address - Fax:
Practice Address - Street 1:1401 REES ST
Practice Address - Street 2:
Practice Address - City:BREAUX BRIDGE
Practice Address - State:LA
Practice Address - Zip Code:70517-4307
Practice Address - Country:US
Practice Address - Phone:337-507-3813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA022263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist