Individual
BRIAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2835 SW 29TH ST, OKLAHOMA CITY, OK 73119-1701
(405) 631-9294
Mailing address
2835 SW 29TH ST, OKLAHOMA CITY, OK 73119-1701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15732
OK
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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