Rothholz, Mitchel Craig

Rothholz, Mitchel Craig is an individual health care provider with primary practice located at 4922 Gardner Dr , Alexandria VA 22304-7732. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Rothholz, Mitchel Craig can be contacted via phone (703) 567-6171.

Contact Information

Primary practice address
4922 Gardner Dr Alexandria VA 22304-7732
Phone: (703) 567-6171
Fax: (202) 628-0443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202011965 Virginia

Profile Details

NPI number 1649277146
LBN Legal business name Rothholz, Mitchel Craig
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 8th, 2007 - about 17 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 1649277146 NPPES
Florida Other 21190 FL BD OF PHARMACY
Florida Other 0202011965 FL BD OF PHARMACY

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