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Individual
MARISSA S RODRIGUEZ
Active
Individual
MARISSA S RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHC
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5808
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC00000088
PHARMACIST CLINICIAN
NM
01
—
RP00005808
REGISTERED PHARMACIST
NM
Enumeration date
02/15/2007
Last updated
12/22/2008
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