Individual
MISS AIDA L RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3505 UNIVERSITY BLVD WEST, JACKSONVILLE, FL 32217
(904) 636-0779
Mailing address
365 CANDLEBARK DR, JACKSONVILLE, FL 32225
(904) 228-2286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS43431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4836
LICENCIA
PR
01
—
PS43431
PHARMACIST
FL
Enumeration date
05/03/2007
Last updated
10/22/2011
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