Provider Demographics
NPI:1508465311
Name:ROHLS, SCOTT ALLEN (PHARM D)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:ALLEN
Last Name:ROHLS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 GREENSBURG COMMONS CTR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-9469
Mailing Address - Country:US
Mailing Address - Phone:812-663-3338
Mailing Address - Fax:812-663-3396
Practice Address - Street 1:790 GREENSBURG COMMONS CTR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-9469
Practice Address - Country:US
Practice Address - Phone:812-663-3338
Practice Address - Fax:812-663-3396
Is Sole Proprietor?:No
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26020172A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist