Provider Demographics
NPI:1023855103
Name:ROLAND, DARRIN WAYNE II (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DARRIN
Middle Name:WAYNE
Last Name:ROLAND
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 OAK ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-4642
Mailing Address - Country:US
Mailing Address - Phone:501-329-0795
Mailing Address - Fax:501-329-0593
Practice Address - Street 1:101 OAK ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-4642
Practice Address - Country:US
Practice Address - Phone:501-329-0795
Practice Address - Fax:501-329-0593
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD170611835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist