Individual
JENNIFER ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6401 POLO CLUB LN, LEXINGTON, KY 40509-8561
(859) 294-0510
Mailing address
6401 POLO CLUB LN, LEXINGTON, KY 40509-8561
(859) 294-0510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016730
KY
183500000X
Pharmacist
03232952-2
OH
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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