Individual provider · Type 1 NPI

Jerome Borth, R.PH.

Pharmacist · Mankato, MN

NPI number 1609161504 Active

Practice location

1850 Adams St, Target Store T0663
Mankato, MN 56001-4864

Fax (507) 625-9009

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X112215 (MN)

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 1609161504

Jerome Borth, R.PH.'s National Provider Identifier is 1609161504, issued on Jun 20, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mankato, MN. The record was last updated on Jun 20, 2011.