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NPI Code Detail

MEDICARE: MARCIE ROGERS

MEDICARE: MARCIE ROGERS
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
1183700000XPharmacy Technician

General Provider Information

NPI Number : 1255911285
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIE ROGERS
Provider Business Mailing Address
First Line : 3750 GATTIS SCHOOL RD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-4642
Country : US
Telephone Number : 512-341-3776
Fax Number :
Provider Business Practice Location Address
First Line : 3750 GATTIS SCHOOL RD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-4642
Country : US
Telephone Number : 512-341-3776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2021
Last Update Date : 04/13/2021

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Directions to “ MARCIE ROGERS ” Practice Location

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