Provider Demographics
NPI:1982246104
Name:RODRIGUEZ RODRIGUEZ, JANETTE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JANETTE
Middle Name:
Last Name:RODRIGUEZ 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 1:1308 N 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-4054
Mailing Address - Country:US
Mailing Address - Phone:509-545-9581
Mailing Address - Fax:
Practice Address - Street 1:1308 N 20TH AVE
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-4054
Practice Address - Country:US
Practice Address - Phone:509-545-9581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP8516183500000X
WAPH60973774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist