Provider Demographics
NPI:1356678999
Name:ROGERS, RONALD EUGENE (RPH)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:EUGENE
Last Name:ROGERS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 BUFFALO GAP RD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-4131
Mailing Address - Country:US
Mailing Address - Phone:325-695-8664
Mailing Address - Fax:325-695-8762
Practice Address - Street 1:5201 BUFFALO GAP RD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-4131
Practice Address - Country:US
Practice Address - Phone:325-695-8664
Practice Address - Fax:325-695-8762
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39367183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist