Provider Demographics
NPI:1912122185
Name:ROLIN, JOSHUA RUSSELL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:RUSSELL
Last Name:ROLIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2521 W STRAIGHT ARROW LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-4766
Mailing Address - Country:US
Mailing Address - Phone:602-794-8901
Mailing Address - Fax:602-794-8911
Practice Address - Street 1:1800 E VAN BUREN ST STE 501
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-3742
Practice Address - Country:US
Practice Address - Phone:602-794-8901
Practice Address - Fax:602-794-8911
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ155851835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy