Individual
MR. HENRY A ROGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
950 E KENOSHA, BROKEN ARROW, OK 74012
(918) 251-3996
Mailing address
704 N SWEETGUM AVE, BROKEN ARROW, OK 74012
(918) 250-1104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11659
OK
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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