Peter Hayden Roth, PHARMD - Pharmacist in Shawano, WI

Peter Hayden Roth, PHARMD is a Pharmacist based in Shawano, Wisconsin. Peter Hayden Roth is licensed to practice in Wisconsin (license number 21034-40) and his current practice location is 401 E Green Bay St, Shawano, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (715) 524-5600.

NPI number for Peter Hayden Roth is 1003589946 and his current mailing address is W5745 Eric Ct, Plymouth, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003589946.

Contact Information

Peter Hayden Roth, PHARMD
401 E Green Bay St,
Shawano, WI 54166-2541
(715) 524-5600
(715) 524-5050

Healthcare Provider's Profile

Full NamePeter Hayden Roth
GenderMale
SpecialityPharmacist
Location401 E Green Bay St, Shawano, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003589946
  • Provider Enumeration Date: 07/27/2021
  • Last Update Date: 07/27/2021

Medical Identifiers

Medical identifiers for Peter Hayden Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003589946NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 21034-40 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Hayden Roth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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› Verified 4 days ago


Pharmacist in Shawano, WI

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    
Jessie Boeckman, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 401 E Green Bay St, Shawano, WI 54166
Phone: 715-524-5600    
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    
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

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