Provider Demographics
NPI:1083020549
Name:RODRIGUEZ, SHONDA HOPE MCCAY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHONDA
Middle Name:HOPE MCCAY
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6223 LYNNHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-5331
Mailing Address - Country:US
Mailing Address - Phone:806-928-1722
Mailing Address - Fax:
Practice Address - Street 1:3706 63RD DR
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-5310
Practice Address - Country:US
Practice Address - Phone:806-928-1722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-05
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist