Individual
MR. CLINT RODERICK IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
912 S GEORGE ST, YORK, PA 17403-3700
(717) 741-8151
Mailing address
306 RUMFORD RD, LITITZ, PA 17543-9012
(717) 578-2627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP038439L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP038439L
PA PHARMACIST LICENSE
PA
Enumeration date
07/29/2011
Last updated
07/29/2011
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