# BART A ROUGHTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972304525
- **Gender:** Man
- **Credential:** PHARMACIST

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 042078 | MO | Yes |

## Other

- **Enumeration date:** 03/20/2025
- **Last updated:** 03/20/2025