Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stanley Raymond Roth, RPH

Individual provider Pharmacist · NPI 1588996755

Stanley Raymond Roth, RPH is a Pharmacist in Grand Rapids, Minnesota. Licensed in Minnesota and South Dakota. Registered with an NPI since 2010.

Licensed in
MN, SD
In the registry since
2010
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1111 S Pokegama Ave
Grand Rapids, MN 55744-3905
Phone: (218) 326-0593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 115997 (MN)
Pharmacist Taxonomy 183500000X · Licence 3743 (SD)

Record details

NPI number1588996755
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedFebruary 12, 2010
Last updated in NPPESFebruary 12, 2010

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