Individual
AUDRA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 E BOONVILLE NEW HARMONY RD, EVANSVILLE, IN 47725-1102
(812) 867-6407
Mailing address
10322 EAGLE CREST LN, ELBERFELD, IN 47613-9160
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027174A
IN
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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