Individual
KASEY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 N EASTERN AVE, MOORE, OK 73160-5860
(405) 793-1120
Mailing address
1229 N EASTERN AVE, MOORE, OK 73160-5860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15813
OK
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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