Organization
BRUCE W ROGERS
Active
Other names
ROGERS PHARMACY #6
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ROGERS (PRESIDENT)
(361) 894-6430
Entity
Organization
Contact information
Practice address
1013 S WELLS ST, BLDG B, EDNA, TX 77957-4045
(361) 782-7822
(361) 782-3701
Mailing address
PO BOX 3670, VICTORIA, TX 77903-3670
(361) 894-6430
(361) 894-6431
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
30095
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147151
—
TX
01
—
2154141
PK
—
Enumeration date
07/23/2015
Last updated
10/30/2023
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