Provider Demographics
NPI:1790927010
Name:M. ROGERS, INC.
Entity Type:Organization
Organization Name:M. ROGERS, INC.
Other - Org Name:ROGERS LTC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
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:816-671-1161
Mailing Address - Street 1:3709 N BELT HWY STE D
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-1364
Mailing Address - Country:US
Mailing Address - Phone:816-671-1161
Mailing Address - Fax:
Practice Address - Street 1:3709 N BELT HWY STE D
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-1364
Practice Address - Country:US
Practice Address - Phone:816-671-1161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy