MEDICARE: TODD FRANKLIN ROOKER PHARMD

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	16776	AL

General Provider Information

NPI Number	:	1285904110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD FRANKLIN ROOKER PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 113
Second Line	:
City	:	WOODSTOCK
State	:	AL
Zip	:	35188
Country	:	US
Telephone Number	:	205-938-9221
Fax Number	:

Provider Business Practice Location Address
First Line	:	28891 HIGHWAY 5
Second Line	:
City	:	WOODSTOCK
State	:	AL
Zip	:	35188-3614
Country	:	US
Telephone Number	:	205-938-9221
Fax Number	:

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

Provider Enumeration Date	:	01/10/2012
Last Update Date	:	01/10/2012

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