Individual
BRADY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E US HIGHWAY 20, MIDDLEBURY, IN 46540-8504
(574) 825-2485
Mailing address
706 STACI LN, MIDDLEBURY, IN 46540-9145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030811A
IN
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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