Provider Demographics
NPI:1750402939
Name:ROGOW, BARBARA A (RPH)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:ROGOW
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 W CAMPBELL RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-6800
Mailing Address - Country:US
Mailing Address - Phone:518-372-2256
Mailing Address - Fax:518-377-6946
Practice Address - Street 1:93 W CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-6800
Practice Address - Country:US
Practice Address - Phone:518-372-2256
Practice Address - Fax:518-377-6946
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist