Provider Demographics
NPI:1720372741
Name:RODRIGUEZ, ARIES ROBERT (RPH, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ARIES
Middle Name:ROBERT
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 YAKIMA VALLEY HWY
Mailing Address - Street 2:STE C1
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-1289
Mailing Address - Country:US
Mailing Address - Phone:509-839-2711
Mailing Address - Fax:509-839-4768
Practice Address - Street 1:2010 YAKIMA VALLEY HWY
Practice Address - Street 2:STE C1
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-1289
Practice Address - Country:US
Practice Address - Phone:509-839-2711
Practice Address - Fax:509-839-4768
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60205131183500000X
TX48789183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist