Provider Demographics
NPI:1902114978
Name:HARRISON-YANCY, ROGESTER (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:ROGESTER
Middle Name:
Last Name:HARRISON-YANCY
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13302 BARON HILL LN
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-2193
Mailing Address - Country:US
Mailing Address - Phone:832-493-5141
Mailing Address - Fax:
Practice Address - Street 1:13302 BARON HILL LN
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-2193
Practice Address - Country:US
Practice Address - Phone:281-489-6304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician