Provider Demographics
NPI:1417175076
Name:ROGERS, CAROLINE JEANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:JEANNE
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 1:51 CAMPGROUND RD
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:NH
Mailing Address - Zip Code:03824-6218
Mailing Address - Country:US
Mailing Address - Phone:603-659-7951
Mailing Address - Fax:
Practice Address - Street 1:701 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3403
Practice Address - Country:US
Practice Address - Phone:603-742-7105
Practice Address - Fax:603-742-2688
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3267183500000X
MEPR5001183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist