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Peter Hayden Roth, PHARMD
Pharmacist in Shawano, Wisconsin
NPI 1003589946

Peter Hayden Roth is a Pharmacist based in Plymouth, WI. Peter Hayden Roth practices in Shawano, WI and has the professional credentials of PHARMD. The NPI Number for Peter Hayden Roth is 1003589946 and holds a License No. 21034-40 (Wisconsin).

The current practice location address for Peter Hayden Roth is 401 E Green Bay St, Shawano, WI and can be reached out via phone at 715-524-5600 and via fax at 715-524-5050.

Location: 401 E Green Bay St, Shawano, WI, 53073-3521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003589946
Provider Name
Peter Hayden Roth
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
401 E Green Bay St, Shawano, WI, 53073-3521
Phone Number
715-524-5600
Fax Number
715-524-5050
Provider Enumeration Date
07/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 E Green Bay St
City
Shawano
State
Wisconsin
Zip
54166-2541
Phone Number
715-524-5600
Fax Number
715-524-5050
person
Provider Business Mailing Address Details
Address
401 E Green Bay St
City
Shawano
State
Wisconsin
Zip
54166-2541
Phone Number
715-524-5600
Fax Number
715-524-5050
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
21034-40 (Wisconsin)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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