Provider Demographics
NPI:1811528805
Name:RODGERS, JAMES BYRON JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BYRON
Last Name:RODGERS
Suffix:JR
Gender:M
Credentials:PHARMD
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Mailing Address - Street 1:4045 MARIETTA HWY
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-8600
Mailing Address - Country:US
Mailing Address - Phone:770-345-3646
Mailing Address - Fax:770-345-0101
Practice Address - Street 1:4045 MARIETTA HWY
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-8600
Practice Address - Country:US
Practice Address - Phone:770-345-3646
Practice Address - Fax:770-345-0101
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARPH0289141835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist