Provider Demographics
NPI:1568759009
Name:ROGERS, ALICIA LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:LYNN
Last Name:ROGERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8437 ALICE PLAYER DR
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:27310-9407
Mailing Address - Country:US
Mailing Address - Phone:336-474-2264
Mailing Address - Fax:336-474-2267
Practice Address - Street 1:1585 LIBERTY DR
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-6356
Practice Address - Country:US
Practice Address - Phone:336-474-2264
Practice Address - Fax:336-474-2267
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21366183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist