Individual
MR. CUSTODIO B RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
5005 N PIEDRAS ST, WBAMC, EL PASO, TX 79920-5001
(915) 569-1233
Mailing address
5005 N PIEDRAS ST, WBAMC, EL PASO, TX 79920-5001
(915) 569-1233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34700
TX
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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