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Individual

DAVID LEAL RODRIGUEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2336 N COAST HWY, NEWPORT, OR 97365-1799
(541) 265-8596
Mailing address
2336 N COAST HWY, NEWPORT, OR 97365-1799
(541) 265-8596

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0012119
OR

Other

Enumeration date
09/06/2011
Last updated
09/06/2011
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