Organization
ROGERS DRUG COMPANY INC
Active
Other names
ROGERS DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN NICHOLAS DPH (OWNER)
(918) 485-2317
Entity
Organization
Contact information
Practice address
326 E CHEROKEE ST, WAGONER, OK 74467-4706
(918) 485-2317
(918) 485-6823
Mailing address
326 E CHEROKEE ST, WAGONER, OK 74467-4706
(918) 485-2317
(918) 485-6823
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
38-5360
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233670A
—
OK
01
—
2074228
PK
—
05
—
90003906682
—
OK
Enumeration date
10/20/2006
Last updated
01/27/2015
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