Provider Demographics
NPI:1598015281
Name:RODRIGUEZ, LAURA YVETTE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:YVETTE
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 1:1102 W TRENTON RD STE A
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9105
Mailing Address - Country:US
Mailing Address - Phone:956-587-3523
Mailing Address - Fax:956-383-4529
Practice Address - Street 1:1102 W TRENTON RD STE A
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9105
Practice Address - Country:US
Practice Address - Phone:956-587-3523
Practice Address - Fax:956-383-4529
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist