Provider Demographics
NPI:1659780799
Name:SANCHEZ, RODERICK JARED (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RODERICK
Middle Name:JARED
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 HUIZAR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78214-2707
Mailing Address - Country:US
Mailing Address - Phone:210-922-9031
Mailing Address - Fax:
Practice Address - Street 1:119 HUIZAR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78214-2707
Practice Address - Country:US
Practice Address - Phone:210-922-9031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-02
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55044183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist