Provider Demographics
NPI:1780284208
Name:ROWLAND, JEFFREY FRANK (PHARMD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:FRANK
Last Name:ROWLAND
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 DUNEDIN WAY
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-7782
Mailing Address - Country:US
Mailing Address - Phone:270-670-9969
Mailing Address - Fax:
Practice Address - Street 1:150 WALTON AVE
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-6361
Practice Address - Country:US
Practice Address - Phone:270-782-9785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012976183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist