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Individual

LARRY WAYNE ROLSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
24203 COUNTY ROAD 22, ESPARTO, CA 95627-2119
(530) 787-4444
(530) 787-4455
Mailing address
24203 COUNTY ROAD 22, ESPARTO, CA 95627-2119
(530) 787-4444
(530) 787-4455

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH28265
CA

Other

Enumeration date
09/26/2011
Last updated
09/26/2011
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