Provider Demographics
NPI:1710879259
Name:ROAN DRUG COMPANY LLC
Entity type:Organization
Organization Name:ROAN DRUG COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:B
Authorized Official - Last Name:EPLING
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:423-753-2441
Mailing Address - Street 1:1238 E JACKSON BLVD # 2
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659-4771
Mailing Address - Country:US
Mailing Address - Phone:423-928-2000
Mailing Address - Fax:
Practice Address - Street 1:1301 N ROAN ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-3941
Practice Address - Country:US
Practice Address - Phone:423-928-2000
Practice Address - Fax:423-928-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy