Individual
MARY ELIZABETH ROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4464 DEVINE ST, COLUMBIA, SC 29205-3605
(803) 738-1108
(803) 790-6660
Mailing address
4464 DEVINE ST, COLUMBIA, SC 29205-3605
(803) 738-1108
(803) 790-6660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13323
SC
Other
Enumeration date
04/17/2012
Last updated
04/17/2012
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