Individual
MR. CHARLES L RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
201 N WINFREE ST, DAYTON, TX 77535-2653
(936) 258-7641
(936) 258-4444
Mailing address
201 N WINFREE ST, DAYTON, TX 77535-2653
(936) 258-7641
(936) 258-4444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142865
—
TX
Enumeration date
07/14/2006
Last updated
07/08/2007
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