MEDICARE: HEATHER MARIE ROGERS PHARM.D

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	PD9510	AR

General Provider Information

NPI Number	:	1376251462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER MARIE ROGERS PHARM.D

Provider Business Mailing Address
First Line	:	1210 AIRPORT RD
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-5334
Country	:	US
Telephone Number	:	501-760-2444
Fax Number	:	501-760-2449

Provider Business Practice Location Address
First Line	:	1210 AIRPORT RD
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-5334
Country	:	US
Telephone Number	:	501-760-2444
Fax Number	:

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

Provider Enumeration Date	:	11/08/2022
Last Update Date	:	11/08/2022

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