Rogers Pharmacy #4

LBN: Rogers Pharmacy #4
Rogers Pharmacy #4 is an health care organization with primary practice located at 6502 Nursery Dr Suite 102, Victoria TX 77904-1178. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Rogers Pharmacy #4 can be contacted via phone (361) 572-0226, or through Rogers, Bruce Wilson via phone (361) 576-6599.

Contact Information

Primary practice address
6502 Nursery Dr Suite 102 Victoria TX 77904-1178
Phone: (361) 572-0226
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Bruce Wilson
Phone: (361) 576-6599

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 17588 Texas

Profile Details

NPI number 1356482996
LBN Legal business name Rogers Pharmacy #4
DBA Doing business as
Authorized official Rogers, Bruce Wilson
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Oct 30th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356482996 NPPES
Texas MEDICAID 144586
Texas Other 4599683

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