Provider Demographics
NPI:1265212674
Name:KOGER, JANET (RPH)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:KOGER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13481 W MCDOWELL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2721
Mailing Address - Country:US
Mailing Address - Phone:623-536-3730
Mailing Address - Fax:623-536-3735
Practice Address - Street 1:13481 W MCDOWELL RD STE 100
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2721
Practice Address - Country:US
Practice Address - Phone:623-536-3730
Practice Address - Fax:623-536-3735
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9309183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist