Provider Demographics
NPI:1154813418
Name:METZGER, KARL ROGER (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:ROGER
Last Name:METZGER
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 S MACARTHUR AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-3945
Mailing Address - Country:US
Mailing Address - Phone:850-481-2508
Mailing Address - Fax:800-373-0108
Practice Address - Street 1:306 S MACARTHUR AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401
Practice Address - Country:US
Practice Address - Phone:850-481-2508
Practice Address - Fax:800-373-0108
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-03
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034839183500000X
FLPS20066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS20066OtherPHARMACY