MEDICARE: RODFRAN, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	13F2974	PR

General Provider Information

NPI Number	:	1164704870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RODFRAN, LLC.

Provider Business Mailing Address
First Line	:	400 CALLE CALAF # 32
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-1314
Country	:	US
Telephone Number	:	787-799-7810
Fax Number	:	787-799-7804

Provider Business Practice Location Address
First Line	:	B2 CALLE CASTIGLIONI
Second Line	:	URB. BAYAMON GARDENS
City	:	BAYAMON
State	:	PR
Zip	:	00957-2520
Country	:	US
Telephone Number	:	787-799-7810
Fax Number	:	787-799-7810

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	NOEL RODRIGUEZ
Credential	:	R.PH.
Telephone Number	:	787-799-7810

Provider Enumeration Date	:	09/20/2011
Last Update Date	:	09/20/2011

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Directions to “RODFRAN, LLC. ” Practice Location

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