Healthcare Provider Details

I. General information

NPI: 1376649731
Provider Name (Legal Business Name): TODD MICHAEL ROWLAND PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 E INDIAN SCHOOL RD PHARMACY DEPARTMENT 119A
PHOENIX AZ
85012-1839
US

IV. Provider business mailing address

3060 N RIDGECREST UNIT 123
MESA AZ
85207-1077
US

V. Phone/Fax

Practice location:
  • Phone: 602-277-5551
  • Fax:
Mailing address:
  • Phone: 480-361-8035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number11953
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: