Individual provider · Type 1 NPI
Kyle Bertrand Rootsaert
Pharmacist · Valley Springs, CA
Practice location
1906 Vista Del Lago Dr Ste G
Valley Springs, CA 95252-9700
Mailing address
16834 Train Station Ct
Lathrop, CA 95330-8638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 49390 (CA) |
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 1720416035
Kyle Bertrand Rootsaert's National Provider Identifier is 1720416035, issued on Oct 23, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Valley Springs, CA. The record was last updated on Oct 23, 2013.