Roth, Jacquie

Roth, Jacquie is an individual health care provider with primary practice located at Highway 34 & 47 , Fort Thompson SD 57339. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Roth, Jacquie can be contacted via phone (605) 245-1503.

Contact Information

Primary practice address
Highway 34 & 47 Fort Thompson SD 57339
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5138 South Dakota

Profile Details

NPI number 1700895687
LBN Legal business name Roth, Jacquie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700895687 NPPES
South Dakota Other 5138 STATE LICENSE (PHARMACY)

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