National Provider Identifier
Justin Raymond Roulley, PHARMD
Justin Raymond Roulley, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Clarence, NY and a listed phone number of (716) 634-7901.
Profile Overview
- NPI
- 1750904868
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- May 22, 2020
- Last Updated
- June 06, 2025
Practice Location
- 9217 Main St
- Clarence, NY 14031-1931
Phone: (716) 634-7901
Mailing Address
- 5040 Meadowbrook RD
- Williamsville, NY 14221-4214
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1750904868
- Entity Type
- Individual
- Last Name
- Roulley
- First Name
- Justin
- Middle Name
- Raymond
- Name Prefix
- Dr.
- Credential
- PHARMD
- Mailing Street Address
- 5040 Meadowbrook RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4214
- Mailing Country
- US
- Mailing Phone
- (716) 316-4131
- Practice Street Address
- 9217 Main St
- Practice City
- Clarence
- Practice State
- NY
- Practice ZIP Code
- 14031-1931
- Practice Country
- US
- Practice Phone
- (716) 634-7901
- Practice Fax
- (716) 634-7907
- Enumeration Date
- May 22, 2020
- Last Updated
- June 06, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 06, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)