Individual
STEPHANIE MICHELLE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
980 US HIGHWAY 491, GALLUP, NM 87301-5339
(505) 722-9977
(505) 722-8481
Mailing address
224 CRESTWOOD CT E, GALLUP, NM 87301-7120
(505) 235-2810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007012
NM
Other
Enumeration date
02/07/2008
Last updated
10/18/2013
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