Daniel Scott Rogers, PHTC

Individual provider Active NPI Pharmacy Technician · Glennville, GA

NPI 1811588676 · NPPES record last updated Feb 3, 2021

Key facts

NPI
1811588676
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
PHTC002790 (GA)
Practice address
703 N Veterans Blvd
Glennville, GA 30427-2208
Phone
(912) 654-3031
Fax
(912) 654-1779
NPI assigned
Feb 3, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PHTC002790GAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Pharmacy, Inc. Current
since Feb 7, 2021
Accepting new patients

Locations

703 N Veterans Blvd
Glennville, GA 30427
Phone (912) 654-3031

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X PHTC002790 GA Yes

Addresses

Primary practice location

703 N Veterans Blvd
Glennville, GA 30427-2208

Mailing address

703 N Veterans Blvd
Glennville, GA 30427-2208
Phone (912) 654-3031

Other providers in Glennville, GA

All providers in Glennville, GA · Pharmacy Technician in Georgia

Sources for this page

Verify at the official NPI Registry.