Individual
MRS. DESIRAE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHRM D
Contact information
Practice address
5060 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-4124
(719) 593-1343
Mailing address
1330 KELLY JOHNSON BLVD APT 312, COLORADO SPRINGS, CO 80920-4092
(505) 715-7424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0024523
CO
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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