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NPI Code Detail

MEDICARE: WILLIAM R ROGERS R.PH.

MEDICARE:   WILLIAM R ROGERS  R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPHRE003089GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396713939
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM R ROGERS R.PH.
Provider Business Mailing Address
First Line : 118 ATHENS ST
Second Line :
City : HARTWELL
State : GA
Zip : 30643-1851
Country : US
Telephone Number : 706-376-5121
Fax Number : 706-376-6983
Provider Business Practice Location Address
First Line : 118 ATHENS ST
Second Line :
City : HARTWELL
State : GA
Zip : 30643-1851
Country : US
Telephone Number : 706-376-5121
Fax Number : 706-376-6983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 07/08/2007

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Directions to “ WILLIAM R ROGERS R.PH.” Practice Location

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