Provider Demographics
NPI:1952433484
Name:ROWLAND, JEFFERY A (RPH)
Entity type:Individual
Prefix:
First Name:JEFFERY
Middle Name:A
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 1:946 BUCYRUS LN
Mailing Address - Street 2:
Mailing Address - City:CANTONMENT
Mailing Address - State:FL
Mailing Address - Zip Code:32533-4882
Mailing Address - Country:US
Mailing Address - Phone:850-937-3701
Mailing Address - Fax:
Practice Address - Street 1:700 N PACE BLVD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-7500
Practice Address - Country:US
Practice Address - Phone:850-432-3307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0033633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist