Provider Demographics
NPI:1578154803
Name:ROCKERS, DONNA SUE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:SUE
Last Name:ROCKERS
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 1:112 S LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:GARNETT
Mailing Address - State:KS
Mailing Address - Zip Code:66032-2600
Mailing Address - Country:US
Mailing Address - Phone:785-304-0712
Mailing Address - Fax:
Practice Address - Street 1:429 N MAPLE ST
Practice Address - Street 2:
Practice Address - City:GARNETT
Practice Address - State:KS
Practice Address - Zip Code:66032-1074
Practice Address - Country:US
Practice Address - Phone:785-448-6122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-12909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist