Healthcare Provider Details

I. General information

NPI: 1508175035
Provider Name (Legal Business Name): CAROL ROJAHN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2010
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1067 MAPLE DR
HUNTSVILLE UT
84317-9663
US

IV. Provider business mailing address

1067 MAPLE DR
HUNTSVILLE UT
84317-9663
US

V. Phone/Fax

Practice location:
  • Phone: 414-322-8926
  • Fax:
Mailing address:
  • Phone: 414-322-8926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051-037474
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11534-040
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13770737-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: