MEDICARE: MR. PAUL EUGENE RODGERS RPH

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
1	183500000X	Pharmacist	RP027560L	PA

General Provider Information

NPI Number	:	1699955526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL EUGENE RODGERS RPH

Provider Business Mailing Address
First Line	:	189 PARKWOOD DR
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-4500
Country	:	US
Telephone Number	:	717-264-6033
Fax Number	:

Provider Business Practice Location Address
First Line	:	2075 SCOTLAND AVE
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-1451
Country	:	US
Telephone Number	:	717-262-2279
Fax Number	:	717-262-2284

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2007
Last Update Date	:	11/08/2007

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