Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROGER T ATA
ActivePharmacist Clinician (PhC) · EDINBURGH, IN
Registration Details
- NPI Number
- 1154038008
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2022 (3.4907625944578 yrs)
- Last Updated
- Oct 31, 2022
- Licenses
-
26030070A (IN)26030070A (IN)26030070A (IN)
Practice Information
- Address
-
15622 N STATE ROAD 79EDINBURGH, IN, 461249276Browse IN providers · Browse ZIP 46124
- Phone
- 2019820054
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacotherapy Specialist
- Additional Specialty
- Pharmacist Clinician (PhC)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.