Organization
S R ROGERS INC
Active
Other names
GRAHAM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ROGERS (OWNER)
(432) 697-7500
Entity
Organization
Contact information
Practice address
1601 W WALL ST, MIDLAND, TX 79701-6549
(432) 684-4797
(432) 684-5757
Mailing address
1601 W WALL ST, MIDLAND, TX 79701-6549
(432) 684-4797
(432) 684-5757
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144935
—
TX
01
—
4527086
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
03/23/2010
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