Individual
SHARLA LAURENE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
E HIGHWAY 18, PINE RIDGE, SD 57770
(605) 867-3195
Mailing address
308 HAIG ST, GORDON, NE 69343-1716
(308) 360-2411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13892
NE
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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