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MR. WILLIAM J ROTH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1467438960

Individual Registrant:
MR. WILLIAM J ROTH 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
300 N MAIN ST  SALEM, SD 57058 US
Tel: 605-425-2827  Fax: 605-425-2052

Contact information for business:
PO BOX 316  SALEM, SD 57058-0316 US
Tel: 605-425-2827  Fax: 605-425-2052

Registration Information:
NPI: 1467438960
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
SD4018

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
8502580SD05




HEALTH CARE JOBS SD - Page 1



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