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NPI Code Detail

MEDICARE: LEAH D'ANN ROTHER R.PH.

MEDICARE:   LEAH D'ANN ROTHER  R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist11727OK

General Provider Information

NPI Number : 1346397999
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH D'ANN ROTHER R.PH.
Provider Business Mailing Address
First Line : 125 G ST SW
Second Line :
City : ARDMORE
State : OK
Zip : 73401-4753
Country : US
Telephone Number : 580-226-9545
Fax Number :
Provider Business Practice Location Address
First Line : 16662 US HIGHWAY 70
Second Line :
City : LONE GROVE
State : OK
Zip : 73443
Country : US
Telephone Number : 580-657-3555
Fax Number : 580-657-3555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 07/08/2007

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Directions to “ LEAH D'ANN ROTHER R.PH.” Practice Location

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