Individual
JESSICA RAE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2580 LAKE AVE, NORTH MUSKEGON, MI 49445-3323
(231) 744-2401
(231) 744-9951
Mailing address
5970 AVALON DR, APT 225, MUSKEGON, MI 49444-7760
(231) 750-4059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032980
MI
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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