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Organization
ROGERS PHARMACY #5
Active
Organization
ROGERS PHARMACY #5
Active
Other names
Rogers Pharmacy #5
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ROGERS (OWNER)
(361) 894-6430
Entity
Organization
Contact information
Practice address
8621 N NAVARRO ST, VICTORIA, TX 77904-2603
(361) 573-1888
(361) 573-4312
Mailing address
PO BOX 3670, VICTORIA, TX 77903-3670
(361) 894-6426
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
28879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146858
—
TX
01
—
2177262
PK
—
Enumeration date
04/26/2018
Last updated
10/30/2023
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