Individual
MR. JACK W ROHLAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
300 PULLMAN SQUARE, KMART PHARMACY #4771, BUTLER, PA 16001-5658
(724) 282-2435
(724) 282-4185
Mailing address
6163 BROWN RD, BUTLER, PA 16002-0411
(724) 586-2045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP-039177-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP039177-L
STATE LICENSE
—
Enumeration date
02/19/2010
Last updated
02/19/2010
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