Roth, Bernadeane B
Roth, Bernadeane B is an individual health care provider with primary practice located at 1333 W 5Th St Ste. 107, Sheridan WY 82801. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Roth, Bernadeane B can be contacted via phone (307) 673-3188.Contact Information
Primary practice address
1333 W 5Th St Ste. 107
Sheridan WY 82801
Phone: (307) 673-3188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 2959 | Wyoming |
Profile Details
| NPI number | 1407825177 |
|---|---|
| LBN Legal business name | Roth, Bernadeane B |
| Credentials | PHARM D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407825177 | NPPES |
| Wyoming | Other | 2959 | WYOMING PHARMACY LICENSE |
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