Individual provider · Type 1 NPI
Kristy Jo Roth, PharmD
Pharmacist · Lagrange, IN
Practice location
0975N 00 Ew
Lagrange, IN 46761
Mailing address
2985 W 050 N
Lagrange, IN 46761-9460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 26027037A (IN) |
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…
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About NPI 1134775554
Kristy Jo Roth, PharmD's National Provider Identifier is 1134775554, issued on Aug 12, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lagrange, IN. The record was last updated on Aug 12, 2019.