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Organization
RODERICK PHARMACY GROUP INC
Active
Organization
RODERICK PHARMACY GROUP INC
Active
Other names
RX EXPRESS
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RODERICK PHARMD (CEO)
(209) 465-1001
Entity
Organization
Contact information
Practice address
711 E MARKET ST, STOCKTON, CA 95202-3104
(209) 465-1001
(209) 946-1001
Mailing address
PO BOX 1651, STOCKTON, CA 95201-1651
(209) 465-1001
(209) 946-1001
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY43891
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992342
PK
—
05
—
PHA438910
—
CA
Enumeration date
11/11/2005
Last updated
09/13/2013
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