Provider Demographics
NPI:1912375668
Name:RODRIGUEZ, ADRIANNA (PHARM D)
Entity Type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:ADRIANNA
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4701 N. STONE AVE
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704
Mailing Address - Country:US
Mailing Address - Phone:520-292-0009
Mailing Address - Fax:520-292-1901
Practice Address - Street 1:4701 N. STONE AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704
Practice Address - Country:US
Practice Address - Phone:520-292-0009
Practice Address - Fax:520-292-1901
Is Sole Proprietor?:No
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS11647183500000X
CA50094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist