Organization
M ROGERS INC & SUBSIDIARY
Active
Other names
Rogers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BENNE ROGERS (OWNER)
(660) 562-2300
Entity
Organization
Contact information
Practice address
125 E SOUTH AVE, MARYVILLE, MO 64468-2669
(660) 562-2300
(660) 224-0259
Mailing address
125 E SOUTH AVE, MARYVILLE, MO 64468-2669
(660) 562-2300
(660) 224-0259
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2015044910
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157902
PK
—
Enumeration date
02/02/2016
Last updated
02/13/2020
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