Healthcare Provider Details

I. General information

NPI: 1770657207
Provider Name (Legal Business Name): ROWLAND FAMILY PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 03/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S BOND ST
ROWLAND NC
28383-9639
US

IV. Provider business mailing address

101 S BOND ST
ROWLAND NC
28383-9639
US

V. Phone/Fax

Practice location:
  • Phone: 910-422-3774
  • Fax: 910-422-3752
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number08381
License Number StateNC

VIII. Authorized Official

Name: DAVID SHELLEY
Title or Position: PHARM AND MGR
Credential: RPH
Phone: 910-422-3774