Provider Demographics
NPI:1982910360
Name:ROGERS, ORSON BRIAN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ORSON
Middle Name:BRIAN
Last Name:ROGERS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6319 HOPE WOOD MILLS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0300
Mailing Address - Country:US
Mailing Address - Phone:281-574-9078
Mailing Address - Fax:
Practice Address - Street 1:25675 NELSON WAY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0240
Practice Address - Country:US
Practice Address - Phone:281-574-1808
Practice Address - Fax:281-574-1813
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42093183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist