Most Relevant Information
Provider Data
| NPI Number: | 1003199167 |
| Provider Name: | LARRY WAYNE ROLSTON PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | RPH28265 |
Most Important Dates
| Enumeration Date: | 09/26/2011 |
| Last Updated: | 09/26/2011 |
Provider Practice Location
24203 COUNTY ROAD 22
ESPARTO
CA
956272119
Practice Location Phone/Fax
| Phone: | 5307874444 |
| Fax: | 5307874455 |
Provider Mailing Location
24203 COUNTY ROAD 22
ESPARTO
CA
956272119
Provider Mailing Phone/Fax
| Phone: | 5307874444 |
| Fax: | 5307874455 |