| NPI | 1033102769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROTH RABB Pres 870-325-6237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AR AR05832) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2025-09-11 |