Provider Demographics
NPI:1639853278
Name:ROWLAND, STEPHEN K (RPH)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:K
Last Name:ROWLAND
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E PINE ST
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-5401
Mailing Address - Country:US
Mailing Address - Phone:573-686-7238
Mailing Address - Fax:573-686-7239
Practice Address - Street 1:400 E PINE ST
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-5401
Practice Address - Country:US
Practice Address - Phone:573-686-7238
Practice Address - Fax:573-686-7239
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040040283336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy