Provider Demographics
NPI:1770781015
Name:RODRIGUEZ, SABRINA SUBIA (PHARMD)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:SUBIA
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 1:11990 LOS OSOS VALLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93405
Mailing Address - Country:US
Mailing Address - Phone:805-858-9903
Mailing Address - Fax:805-858-9913
Practice Address - Street 1:11990 LOS OSOS VALLEY ROAD
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405-6861
Practice Address - Country:US
Practice Address - Phone:805-858-9903
Practice Address - Fax:805-858-9913
Is Sole Proprietor?:No
Enumeration Date:2007-07-09
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18981183500000X
CA65346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist