Organization
BINESHWAR BEN PRASAD
Active
Other names
ROGERS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
BEN PRASAD RPH (PHARMACIST OWNER)
(209) 522-5229
Entity
Organization
Contact information
Practice address
402 H ST, MODESTO, CA 95351-3308
(209) 522-5229
(209) 522-8739
Mailing address
402 H ST, MODESTO, CA 95351-3308
(209) 522-5229
(209) 522-8739
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY37538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2066019
PK
—
05
—
PHA375380
—
CA
Enumeration date
07/01/2006
Last updated
09/19/2025
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