Roth, John

Roth, John is an individual health care provider with primary practice located at 1903 State Road 60 E , Lake Wales FL 33853-4329. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Roth, John can be contacted via phone (863) 676-9496.

Contact Information

Primary practice address
1903 State Road 60 E Lake Wales FL 33853-4329
Phone: (863) 676-9496
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS44826 Florida

Profile Details

NPI number 1447520945
LBN Legal business name Roth, John
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2011
Last updated Dec 31st, 2011 - about 14 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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