Provider Demographics
NPI:1922336635
Name:ROGERS, HOWARD WILBON JR (RPH)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:WILBON
Last Name:ROGERS
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 HENDERSONVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-274-7560
Mailing Address - Fax:828-274-8767
Practice Address - Street 1:1835 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3204
Practice Address - Country:US
Practice Address - Phone:828-274-7560
Practice Address - Fax:828-274-8767
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC09132183500000X
GARPH010769183500000X
TN0000031273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC09132OtherNORTH CAROLINA BOARD OF PHARMACY