Provider Demographics
NPI:1508575838
Name:M ROGERS INC & SUBSIDIARY
Entity Type:Organization
Organization Name:M ROGERS INC & SUBSIDIARY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-442-3355
Mailing Address - Street 1:102 W 1ST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:STANBERRY
Mailing Address - State:MO
Mailing Address - Zip Code:64489-1161
Mailing Address - Country:US
Mailing Address - Phone:660-783-0700
Mailing Address - Fax:855-420-6210
Practice Address - Street 1:102 W 1ST ST STE 100
Practice Address - Street 2:
Practice Address - City:STANBERRY
Practice Address - State:MO
Practice Address - Zip Code:64489-1161
Practice Address - Country:US
Practice Address - Phone:660-783-0700
Practice Address - Fax:855-420-6210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy