Peter Hayden Roth, PHARMD

NPI #1003589946 in Shawano, Wisconsin

Provider Information

NPI Number: 1003589946
Entity Type: Individual
Name: Peter Hayden Roth, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jul 27, 2021
Last Updated: Jul 27, 2021

Practice Location

Address: 401 E GREEN BAY ST
City: Shawano
State: Wisconsin
ZIP Code: 54166-2541
Phone: (715) 524-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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