Organization
RODERICK PHARMACY GROUP INC
Active
Other names
RX EXPRESS
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RODERICK PHARMD (CEO)
(209) 465-1001
Entity
Organization
Contact information
Practice address
711 E MARKET ST, STOCKTON, CA 95202-3104
(209) 465-1001
(209) 946-1001
Mailing address
PO BOX 1651, STOCKTON, CA 95201-1651
(209) 465-1001
(209) 946-1001
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY43891
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992342
PK
—
05
—
PHA438910
—
CA
Enumeration date
11/11/2005
Last updated
09/13/2013
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