NPI 1508064239

Bryan M Rodgers, PHARMD

Practitioner Pharmacist Radcliff, KY

Practice location

Address: 467 N Dixie Blvd, Radcliff, KY 40160-1306
Phone: (270) 351-3313
Mailing address: 113 Tallyho Way, Elizabethtown, KY 42701-7829

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 013668 (KY)

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Registry record

NPI: 1508064239
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.