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NPI 1750922134

NPI 1750922134 : RODRIGUEZ FAMILY PHARMACY : KENNER, LA

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General NPI Number Information
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    NPI Number           |    1750922134
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    Entity Type          |    Organization 
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    Legal Business Name  |    RODRIGUEZ FAMILY PHARMACY 
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Dates
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    Enumeration Date     |    10/07/2019
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    Last Update Date     |    05/31/2025
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Provider Practice Location Address
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    Address Line         |    2401 VETERANS BLVD SUITE 12 
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    City                 |    KENNER
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    State                |    LA
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    Zip                  |    70062
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    Country              |    US
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    Telephone            |    504-332-3364
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    Fax                  |    504-332-3381
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Provider Business Mailing Address
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    Address Line         |    2401 VETERANS BLVD SUITE 12 
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    City                 |    KENNER
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    State                |    LA
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    Zip                  |    70062
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    Country              |    US
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    Telephone            |    504-332-3364
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    Fax                  |    504-332-3381
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Authorized Official
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    Title or Position    |    PHARMACIST
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    Name                 |    DR. JEFFREY T. RODRIGUEZ 
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    Credential           |    PHARMD
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    Telephone            |    504-460-7182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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