Individual
BRYAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2745 N GRANDVIEW AVE, ODESSA, TX 79762-6992
(432) 366-2868
Mailing address
9962 GIDEON CIR TRLR 4, EL PASO, TX 79927-4307
(915) 474-2443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71014
TX
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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