Provider Demographics
NPI:1467882431
Name:RODGERS, SUMMER (PHARMD)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:RODGERS
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 1:1523 S BOWMAN RD STE G
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4226
Mailing Address - Country:US
Mailing Address - Phone:501-217-8880
Mailing Address - Fax:501-217-8885
Practice Address - Street 1:1523 S BOWMAN RD STE G
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4226
Practice Address - Country:US
Practice Address - Phone:501-217-8880
Practice Address - Fax:501-217-8885
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD11669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist