NPI 1003190091

Ben Roland, PHARMD

Practitioner Pharmacist Green Bay, WI

Practice location

Address: 2204 University Ave, Green Bay, WI 54302-4511
Phone: (920) 469-5516
Mailing address: 3052 Maple Grv, Suamico, WI 54173-8131

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence WI15517-040 (WI)

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Registry record

NPI: 1003190091
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2011
Record last updated: 7 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.