Provider Demographics
NPI:1255447413
Name:ROLANDS, THOMAS F (RPH)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:F
Last Name:ROLANDS
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 1:1651 ROSS DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-1401
Mailing Address - Country:US
Mailing Address - Phone:248-643-8309
Mailing Address - Fax:
Practice Address - Street 1:30551 STEPHENSON HWY
Practice Address - Street 2:SUITE A
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-1645
Practice Address - Country:US
Practice Address - Phone:248-291-3339
Practice Address - Fax:248-721-8028
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302020199183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist