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Contact Information

JACQUIE ROTH
HIGHWAY 34 & 47
FORT THOMPSON, SD57339
 Phone: 605-245-1503
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JACQUIE ROTH · (Female)

NPI # 1700895687
Status Active
Credentials
Entity Individual
Enumeration date 08/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 5138
  • SD Other 5138 STATE LICENSE (PHARMACY)
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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