Individual
ANDY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 W BURNSIDE AVE, BRONX, NY 10453-4004
(917) 825-9486
Mailing address
189 9TH ST, FAIRVIEW, NJ 07022-1608
(917) 825-9486
(718) 484-8589
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
039736
NY
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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