Provider Demographics
NPI:1104795210
Name:HUCK, ROLAND B (RPH)
Entity type:Individual
Prefix:MR
First Name:ROLAND
Middle Name:B
Last Name:HUCK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2390 N MORTON ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-9737
Mailing Address - Country:US
Mailing Address - Phone:317-346-9610
Mailing Address - Fax:317-346-9665
Practice Address - Street 1:2390 N MORTON ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-9737
Practice Address - Country:US
Practice Address - Phone:317-346-9610
Practice Address - Fax:317-346-9665
Is Sole Proprietor?:No
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26020660A1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care