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NPI Code Detail

MEDICARE: MR. KEITH ROBERT ROLAND RPH

MEDICARE: MR. KEITH ROBERT ROLAND RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP044292LPA

General Provider Information

NPI Number : 1093797342
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEITH ROBERT ROLAND RPH
Provider Business Mailing Address
First Line : 2303 OLD PHILADELPHIA PIKE
Second Line :
City : LANCASTER
State : PA
Zip : 17602-3418
Country : US
Telephone Number : 717-295-4446
Fax Number :
Provider Business Practice Location Address
First Line : 3001 LITITZ PIKE
Second Line :
City : LITITZ
State : PA
Zip : 17543-9414
Country : US
Telephone Number : 717-560-8822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 08/12/2019

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Directions to “ MR. KEITH ROBERT ROLAND RPH” Practice Location

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