DR. Jacquie Roth
NPI #1700895687 in Fort Thompson, South Dakota
Provider Information
- NPI Number
- 1700895687
- Entity Type
- Individual
- Name
- DR. Jacquie Roth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 7, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- HIGHWAY 34 & 47
- City
- Fort Thompson
- State
- South Dakota
- ZIP Code
- 57339
- Phone
- (605) 245-1503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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