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G & J Roth Professional Corp
Non-Pharmacy Dispensing Site in Clovis, California
NPI 1275675480

G & J Roth Professional Corp is a Non-Pharmacy Dispensing Site based in San Diego, CA. G & J Roth Professional Corp practices in Clovis, CA. The NPI Number for G & J Roth Professional Corp is 1275675480 and holds a License No. 20A5200 (California).

The current practice location address for G & J Roth Professional Corp is 255 W Bullard Ave, Clovis, CA and can be reached out via phone at 559-299-2128.

Location: 255 W Bullard Ave, Clovis, CA, 92121-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275675480
Provider Name
G & J Roth Professional Corp
Credential
Provider Entity Type
Organization
Address
255 W Bullard Ave, Clovis, CA, 92121-1705
Phone Number
559-299-2128
Fax Number
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
255 W Bullard Ave
City
Clovis
State
California
Zip
93612-0861
Phone Number
559-299-2128
Fax Number
person
Provider Business Mailing Address Details
Address
255 W Bullard Ave
City
Clovis
State
California
Zip
93612-0861
Phone Number
559-299-2128
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
20A5200 (California)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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