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General NPI Number Information
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NPI Number | 1104847151
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Entity Type | Organization
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Legal Business Name | ROGERS PHARMACY INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 221 SW 2ND ST
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City | WALNUT RIDGE
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State | AR
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Zip | 72476-2335
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Country | US
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Telephone | 870-886-5700
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Fax | 870-886-5439
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Provider Business Mailing Address
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Address Line | PO BOX 591
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City | WALNUT RIDGE
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State | AR
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Zip | 72476-0591
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Country | US
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Telephone | 870-886-5700
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Fax | 570-886-5439
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Authorized Official
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Title or Position | OWNER
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Name | DR. BENJAMIN ENGELKEN
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Credential | PHARMD
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Telephone | 870-759-0543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR20530
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License Number State | AR
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