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Individual

KENNETH PAUL ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1164 RUTHERFORD RD, GREENVILLE, SC 29609-3906
(864) 233-7940
(864) 233-4615
Mailing address
1164 RUTHERFORD RD, GREENVILLE, SC 29609-3906
(864) 233-7940
(864) 233-4615

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6462
SC

Other

Enumeration date
09/28/2007
Last updated
09/28/2007
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