Petra Diana Rogers in Lewiston - Pharmacist

Petra Diana Rogers - NPI 1417085762

Petra Diana Rogers is a Pharmacist in Lewiston, Idaho. Petra Diana Rogers practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Petra Diana Rogers is 1417085762. The last update date is 2007-07-08.

Petra Diana Rogers's current location address is 1904 19th Ave, Lewiston, Idaho. You can contact this provider via phone number 2087439127 and fax number 2087434777. The mailing address for Petra Diana Rogers is 1904 19th Ave, Lewiston, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Petra Diana Rogers
Address 1904 19th Ave, Lewiston, Idaho
Phone Number 2087439127
Fax Number 2087434777
Sole Proprietor Y
Credentials PHARMD

NPI Number Detail

NPI Number 1417085762
Provider Enumeration Date 2007-03-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1904 19th Ave
City Lewiston
State Idaho (ID)
Post Code 835014069
Phone Number 2087439127
Fax Number 2087434777

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No P5732
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

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FAQs about Petra Diana Rogers

What is the unique 10-digit identification code assigned to Petra Diana Rogers by the Centers for Medicare & Medicaid Services?

The Petra Diana Rogers has been issued the NPI (National Provider Identifier) 1417085762, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Petra Diana Rogers's facilities are geographically located?

The facilities of Petra Diana Rogers are physically situated at the following location: 1904 19Th Ave, Lewiston, ID, 835014069.

What is Petra Diana Rogers's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Petra Diana Rogers is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.

When did Petra Diana Rogers receive its 1417085762 assignment?

The Petra Diana Rogers was assigned its 1417085762 on 2007-03-01, which is the date when this unique identifier was issued to the organization.

When was the Petra Diana Rogers's information last updated?

The Petra Diana Rogers's information was last updated on 2007-07-08.

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