Individual
CAROLINE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
592 E 183RD ST, BRONX, NY 10458-8701
(718) 220-2226
Mailing address
592 E 183RD ST, BRONX, NY 10458-8701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041029
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0514202967
—
NY
Enumeration date
04/11/2008
Last updated
04/11/2008
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