Individual
MR. WILLIAM J ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 N MAIN ST, SALEM, SD 57058
(605) 425-2827
(605) 425-2052
Mailing address
PO BOX 316, SALEM, SD 57058-0316
(605) 425-2827
(605) 425-2052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4018
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8502580
—
SD
Enumeration date
12/16/2005
Last updated
07/08/2007
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