Basic Information
Provider Information
NPI: 1003002528
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROGERS
FirstName: KATHERINE
MiddleName: MICHELE
NamePrefix: DR.
NameSuffix:  
Credential: PHARM.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 23022 PARK AVE
Address2:  
City: GEORGETOWN
State: DE
PostalCode: 199476364
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 110 E DUPONT HWY
Address2:  
City: MILLSBORO
State: DE
PostalCode: 199661803
CountryCode: US
TelephoneNumber: 3029343193
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/18/2007
LastUpdateDate: 09/18/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X0003733DEY Pharmacy Service ProvidersPharmacist 

No ID Information.


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