Rogers, Bruce Wilson

Rogers, Bruce Wilson is an sole proprietor health care provider with primary practice located at 4404 N Laurent St , Victoria TX 77901-2742. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Pharmacy Service Providers / Pharmacist. Suppliers / Durable Medical Equipment & Medical Supplies is his primary health care specialty. Rogers, Bruce Wilson can be contacted via phone (361) 576-6599.

Contact Information

Primary practice address
4404 N Laurent St Victoria TX 77901-2742
Phone: (361) 576-6599
Fax: (361) 894-6431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Texas
Pharmacy Service Providers / Pharmacist 183500000X 21067 Texas

Profile Details

NPI number 1578604104
LBN Legal business name Rogers, Bruce Wilson
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Oct 30th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578604104 NPPES
Texas Other 21067 STATE BOARD OF PHARMACY

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