Individual
DR. EDSON FERNANDO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
9619 CORBIN AVE, NORTHRIDGE, CA 91324-2121
(818) 605-5085
Mailing address
9619 CORBIN AVE, NORTHRIDGE, CA 91324-2121
(818) 605-5085
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RPH89325
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH89325
BOARD OF PHARMACY
CA
Enumeration date
05/07/2024
Last updated
05/07/2024
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