Individual
EDGARDO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACY INTERN
Contact information
Practice address
1096 S SAINT FRANCIS DR, SANTA FE, NM 87505-1654
(505) 982-9811
Mailing address
4701 N CHARLES ST, BALTIMORE, MD 21210-2404
(787) 975-9335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010437
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI02601
MD
Other
Enumeration date
06/15/2023
Last updated
02/05/2026
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