Most Relevant Information
Provider Data
| NPI Number: | 1003287251 |
| Provider Name: | MARISA ROGERS |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | MA.003125 |
Most Important Dates
| Enumeration Date: | 10/14/2015 |
| Last Updated: | 10/14/2015 |
Provider Practice Location
2509 CHARITY ST
ABBEVILLE
LA
705104022
Practice Location Phone/Fax
| Phone: | 3378932131 |
| Fax: |
Provider Mailing Location
2509 CHARITY ST
ABBEVILLE
LA
705104022
Provider Mailing Phone/Fax
| Phone: | 3378932131 |
| Fax: |