Healthcare Provider Details

I. General information

NPI: 1942934591
Provider Name (Legal Business Name): HOLLEY ROWLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 HIGHWAY 160 W
FORT MILL SC
29708-8009
US

IV. Provider business mailing address

1750 HIGHWAY 160 W
FORT MILL SC
29708-8009
US

V. Phone/Fax

Practice location:
  • Phone: 803-396-0450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43371
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: