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Individual

WILLIAM ROTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2120 PARK ST S, LIVINGSTON, MT 59047-4127
(406) 222-1188
Mailing address
116 S 3RD ST APT A, LIVINGSTON, MT 59047-2608

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35339
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35339
MONTANA BOARD OF PHARMACY
MT
Enumeration date
03/22/2018
Last updated
03/22/2018
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