Individual
MARISSA S RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHC
Contact information
Practice address
8300 CONSTITUTION AVE NE BLDG D, PRESBYTERIAN MEDICAL GROUP, ALBUQUERQUE, NM 87110-7613
(505) 291-2200
(505) 291-2233
Mailing address
12405 RAINIER WAY NE, ALBUQUERQUE, NM 87111-7272
(505) 296-2549
(505) 291-2233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5808
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC00000088
PHARMACIST CLINICIAN
NM
01
—
RP00005808
REGISTERED PHARMACIST
NM
Enumeration date
02/15/2007
Last updated
12/22/2008
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