Provider Demographics
NPI:1124232194
Name:ROGERS, ROCHELLE ANITA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:ANITA
Last Name:ROGERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14841 STRAWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-3102
Mailing Address - Country:US
Mailing Address - Phone:202-494-5369
Mailing Address - Fax:202-741-3621
Practice Address - Street 1:GEORGE WASHINGTON UNIVERSITY MEDICAL FACULTY ASSOCIATES
Practice Address - Street 2:2150 PENNSYLVANIA AVENUE ROOM 1-202C
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20866
Practice Address - Country:US
Practice Address - Phone:202-741-3624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPHA2896183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist