Organization
BRUCE W ROGERS
Active
Other names
Rogers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE WILSON ROGERS R.PH. (PRESIDENT)
(361) 578-3521
Entity
Organization
Contact information
Practice address
4402 N LAURENT ST, VICTORIA, TX 77901-2742
(361) 578-3521
(361) 576-5989
Mailing address
PO BOX 3670, VICTORIA, TX 77903-3670
(361) 578-3521
(361) 576-5989
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
#4368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141510
—
TX
Enumeration date
09/25/2006
Last updated
01/26/2021
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