DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STANLEY RAYMOND ROTH, RPH

Active

STANLEY RAYMOND ROTH, RPH is a Pharmacist healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1588996755 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · GRAND RAPIDS, MN

Registration Details

NPI Number
1588996755
Provider Type
Individual
Gender
Male
NPI Issued
Feb 12, 2010 (16.490619649209 yrs)
Last Updated
Feb 12, 2010
Licenses
115997 (MN)
3743 (SD)

Practice Information

Address
1111 S POKEGAMA AVE
GRAND RAPIDS, MN, 557443905
Browse MN providers · Browse ZIP 55744
Phone
2183260593
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in GRAND RAPIDS, MN

Name Credential NPI
MRS. LISA ANN BRANDT RPH 1811007008
MR. MICHAEL ALLEN BRANDT RPH 1093827990
VALERIE HALVERSON R.PH. 1174740849
DANIELLE BEAUDETTE SERGOT PHARM.D 1750535290
MELISSA NICOLE WALTERS PHARM.DL 1093048407
THERESA M FOX PHARMD 1538493895
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.