Individual
MARK ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
900 CENTER BLVD, #246 PHARMACY, NEWARK, DE 19702-3221
(302) 894-0250
(302) 894-0994
Mailing address
900 CENTER BLVD, #246 PHARMACY, NEWARK, DE 19702-3221
(302) 894-0250
(302) 894-0994
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
A10003260
DE
183500000X
Pharmacist
Primary
RP030231L
PA
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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