Individual
MICHAEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21302 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8790
(253) 862-2822
Mailing address
21302 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8790
(253) 862-2822
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA61103994
WA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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