Provider Demographics
NPI:1184910184
Name:PRICE, ROGER WESTMORELAND (PHARMACIST)
Entity type:Individual
Prefix:DR
First Name:ROGER
Middle Name:WESTMORELAND
Last Name:PRICE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7570 WEST FARMINGTON BVLD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138
Mailing Address - Country:US
Mailing Address - Phone:901-756-3910
Mailing Address - Fax:901-309-3250
Practice Address - Street 1:7570 W FARMINGTON BLVD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-2809
Practice Address - Country:US
Practice Address - Phone:901-756-3910
Practice Address - Fax:901-309-3250
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNC5842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1235248527OtherPHARMACY NPI