NPI 1114074689

Richard Rostholder, RPH

Practitioner Pharmacist Hollis, NY

Practice location

Address: 20419 Hillside Ave, Hollis, NY 11423-2213
Phone: (718) 465-2121
Fax: (718) 217-9794

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 32723 (NY)

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Registry record

NPI: 1114074689
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2007
Record last updated: 9 Jul 2007

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.