Roth, Jacquie
Roth, Jacquie is an individual health care provider with primary practice located at Highway 34 & 47 , Fort Thompson SD 57339. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Roth, Jacquie can be contacted via phone (605) 245-1503.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 5138 | South Dakota |
Profile Details
| NPI number | 1700895687 |
|---|---|
| LBN Legal business name | Roth, Jacquie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700895687 | NPPES |
| South Dakota | Other | 5138 | STATE LICENSE (PHARMACY) |
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