Individual
AMANDA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 W MARKET ST, BOLIVAR, TN 38008-1536
(731) 658-7181
Mailing address
1604 W MARKET ST, BOLIVAR, TN 38008-1536
(731) 658-7181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
49146
TN
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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