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1104538933
DAVID ROTH
SHEBOYGAN, WI
NPI
1104538933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 22039-40)
Enumeration Date
2022-12-23
Last Update Date
2022-12-23
Business Address
Dr. DAVID ROTH
1108 N 14TH ST
SHEBOYGAN, WI 53081-3213
Phone number: 920-452-0079
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Mailing Address
Dr. DAVID ROTH
1108 N 14TH ST
SHEBOYGAN, WI 53081-3213
Phone number:
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