| Peter Hayden Roth, PHARMD | |
|
401 E Green Bay St, Shawano, WI 54166-2541 | |
| (715) 524-5600 | |
| (715) 524-5050 |
| Full Name | Peter Hayden Roth |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 401 E Green Bay St, Shawano, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003589946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 21034-40 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Hayden Roth, PHARMD W5745 Eric Ct, Plymouth, WI 53073-3521 Ph: (920) 207-7677 | Peter Hayden Roth, PHARMD 401 E Green Bay St, Shawano, WI 54166-2541 Ph: (715) 524-5600 |
Will Gillis, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-3456 | |
Rachel Nault, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 | |
Lance Buth, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1244 E Green Bay St, Shawano, WI 54166 Phone: 715-524-5983 | |
Lori Lea Kagerbauer, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 117 S Main St, Shawano, WI 54166 Phone: 715-524-2011 | |
Tiffany Kremmer, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 | |
Timothy Dreier, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 117 S Main St, Shawano, WI 54166 Phone: 715-526-2011 Fax: 715-524-6377 |