Dr. Nathaniel David Rodriguez, Pharm D
Pharmacist in Las Vegas, NV. Individual provider (NPI-1).
NPI number1962005264
StatusActive
Last updated in NPPESDec 1, 2020
Details
- NPI
- 1962005264
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nathaniel David Rodriguez
- Credential
- Pharm D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2020
- Certification date
- Dec 1, 2020
- Last updated
- Dec 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 19651 | NV | Yes |
Practice location
9405 W Russell RdLas Vegas, NV 89148-5552
Phone 702-262-7854
Mailing address
9405 W Russell RdLas Vegas, NV 89148-5552
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