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Organization

IRLS LLC

Active
Other names
Rodger's Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN RODGER (PHARMACIST/OWNER)
(713) 724-1372
Entity
Organization

Contact information

Practice address
1909 GRAND AVE, LIBERTY, TX 77575-4803
(936) 776-5228
(936) 641-9149
Mailing address
1909 GRAND AVE, LIBERTY, TX 77575-4803
(936) 776-5228
(936) 641-9149

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
30084
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147135
TX
01
2153579
PK
Enumeration date
08/10/2015
Last updated
09/30/2020
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