# ROLLIES PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rollie's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265987127
- **Authorized official:** DERRY HOLLAND (CEO)
- **Authorized official phone:** (609) 267-4969

## Contact information

- **Practice address:** 128 CROSS KEYS RD, BERLIN, NJ 08009-9201
- **Practice address phone:** (856) 210-1515
- **Mailing address:** 128 CROSS KEYS RD, BERLIN, NJ 08009-9201
- **Mailing address phone:** (856) 210-1515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 28RS00749900 | NJ | Yes |

## Other

- **Enumeration date:** 08/22/2016
- **Last updated:** 01/23/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2163666 | PK | — |