Individual
HEATHER ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
850 76TH ST SW, BYRON CENTER, MI 49315-8510
(616) 878-2324
(616) 878-8850
Mailing address
850 76TH ST SW, BYRON CENTER, MI 49315-8510
(616) 878-2324
(616) 878-8850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031230
MI
Other
Enumeration date
09/01/2011
Last updated
02/27/2017
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