Individual
MR. MITCHEL CRAIG ROTHHOLZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4922 GARDNER DR, ALEXANDRIA, VA 22304-7732
(703) 567-6171
(202) 628-0443
Mailing address
4922 GARDNER DR, ALEXANDRIA, VA 22304-7732
(703) 567-6171
(202) 628-0443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011965
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202011965
VA BD OF PHARMACY
VA
01
—
21190
FL BD OF PHARMACY
FL
Enumeration date
06/30/2005
Last updated
07/08/2007
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