Kaleb Roth

NPI #1932796273 in Storm Lake, Iowa

Provider Information

NPI Number: 1932796273
Entity Type: Individual
Name: Kaleb Roth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 21, 2020
Last Updated: Dec 21, 2020

Practice Location

Address: 1250 LAKE AVE
City: Storm Lake
State: Iowa
ZIP Code: 50588-1997
Phone: (712) 732-1364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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