Individual
MR. ROLYN WAYNE SIMMONS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-2500
Mailing address
1090 SAINT NICHOLAS AVE APT 53, NEW YORK, NY 10032-3831
(832) 452-7791
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
490107010040594
TX
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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