Individual provider · Type 1 NPI
Peter Hayden Roth, PharmD
Pharmacist · Shawano, WI
Practice location
401 E Green Bay St
Shawano, WI 54166-2541
Fax (715) 524-5050
Mailing address
W5745 Eric Ct
Plymouth, WI 53073-3521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 21034-40 (WI) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
4 other providers at this address
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About NPI 1003589946
Peter Hayden Roth, PharmD's National Provider Identifier is 1003589946, issued on Jul 27, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Shawano, WI. The record was last updated on Jul 27, 2021.