Individual
TRACY DEANE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4794 HIGHWAY 162, HOLLYWOOD, SC 29449-5740
(843) 769-6522
Mailing address
104 HAMPTON DR, SUMMERVILLE, SC 29485-8404
(843) 870-3388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9151
SC
Other
Enumeration date
07/09/2007
Last updated
03/24/2021
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