Provider Demographics
NPI:1316223308
Name:ROGERS, WENDY R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:R
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:PO BOX 161529
Mailing Address - Street 2:BIG SKY MEDICAL CENTER PHARMACY
Mailing Address - City:BIG SKY
Mailing Address - State:MT
Mailing Address - Zip Code:59716-1529
Mailing Address - Country:US
Mailing Address - Phone:406-995-6500
Mailing Address - Fax:
Practice Address - Street 1:334 TOWN CENTER AVE
Practice Address - Street 2:BIG SKY MEDICAL CENTER PHARMACY
Practice Address - City:BIG SKY
Practice Address - State:MT
Practice Address - Zip Code:59716
Practice Address - Country:US
Practice Address - Phone:406-995-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-23
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5083183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist