Individual
MR. RALPH ANDREW RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
901 CALIFORNIA ST, SOCORRO, NM 87801-4269
(575) 835-9495
(575) 838-4916
Mailing address
901 CALIFORNIA ST, SOCORRO, NM 87801-4269
(575) 835-9495
(575) 838-4916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4539
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4539
PHARAMCY LICNESE NUMBER
NM
Enumeration date
09/15/2011
Last updated
09/15/2011
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