DR. Petra Diana Rogers, PHARMD

NPI #1417085762 in Lewiston, Idaho

Provider Information

NPI Number: 1417085762
Entity Type: Individual
Name: DR. Petra Diana Rogers, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Mar 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1904 19TH AVE
Address 2: RITE AID PHARMACY #5408
City: Lewiston
State: Idaho
ZIP Code: 83501-4069
Phone: (208) 743-9127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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