Individual
DR. JACOB ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5055 ARSENAL ST, SAINT LOUIS, MO 63139-1011
(314) 771-5314
Mailing address
412 MEADOW ST, PARK HILLS, MO 63601-3738
(573) 747-5992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2023032341
MO
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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