Healthcare Provider Details

I. General information

NPI: 1245173012
Provider Name (Legal Business Name): ROGERS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 SW 2ND ST
WALNUT RIDGE AR
72476-2335
US

IV. Provider business mailing address

PO BOX 591
WALNUT RIDGE AR
72476-0591
US

V. Phone/Fax

Practice location:
  • Phone: 870-886-5700
  • Fax:
Mailing address:
  • Phone: 870-886-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN ENGELKEN
Title or Position: OWNER
Credential:
Phone: 870-886-5700