# MARISSA S RODRIGUEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518000975
- **Gender:** F
- **Credential:** RPH, PHC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 5808 | NM | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 12/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PC00000088 | PHARMACIST CLINICIAN | NM |
| 01 | — | RP00005808 | REGISTERED PHARMACIST | NM |