Individual
SCOTT ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1035 WOODLAND RD, PLATTEVILLE, WI 53818-9067
(608) 330-0110
Mailing address
1035 WOODLAND RD, PLATTEVILLE, WI 53818-9067
(608) 330-0110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12174
WI
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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