Individual
GARY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3166 ROUTE 22, BRANCHBURG, NJ 08876-3597
(908) 704-2153
Mailing address
810 ELIZABETH AVE, RARITAN, NJ 08869-1112
(908) 705-0467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01986600
NJ
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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