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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY RODGERS II

Active Sole Proprietor

JERRY RODGERS II is a Pharmacist healthcare provider located in CHIPPEWA LAKE, Ohio. NPI 1538454061 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · CHIPPEWA LAKE, OH

Registration Details

NPI Number
1538454061
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2011 (15.027458856904 yrs)
Last Updated
Jun 13, 2011
License
03223315 (OH)
Sole Proprietor
Yes

Practice Information

Address
7378 FAYETTE BLVD
CHIPPEWA LAKE, OH, 442159812
Browse OH providers · Browse ZIP 44215
Phone
3307694554
Primary Specialty
Pharmacist
183500000X
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.