Individual
MOLLY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4011 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605
(954) 882-1484
Mailing address
8030 SE 144TH PL, INGLIS, FL 34449-2740
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PSI40857
FL
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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