Organization
M ROGERS INC & SUBSIDIARY
Active
Other names
Rogers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BENNE ROGERS (CFO)
(660) 736-5512
Entity
Organization
Contact information
Practice address
411 MAIN ST, TARKIO, MO 64491-1544
(660) 736-5512
(660) 736-4361
Mailing address
607 STATE ST, MOUND CITY, MO 64470-1146
(660) 442-3355
(660) 442-3601
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620243436
—
MO
Enumeration date
09/20/2006
Last updated
02/11/2021
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