Organization
ROGERS PHARMACY #5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE W ROGERS (OWNER)
(361) 894-6430
Entity
Organization
Contact information
Practice address
8621 N NAVARRO ST, VICTORIA, TX 77904-2603
(361) 894-6430
(361) 894-6431
Mailing address
PO BOX 3670, VICTORIA, TX 77903-3670
(361) 894-6430
(361) 894-6431
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28879
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
11/11/2013
Last updated
10/30/2023
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