Individual
ALEXIS SHANTEL ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 N HENRY BLVD, STOCKBRIDGE, GA 30281-3222
(662) 231-7449
Mailing address
5415 N HENRY BLVD, STOCKBRIDGE, GA 30281-3222
(662) 231-7449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031098
GA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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