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NPI Code Detail

MEDICARE: DIANA J RODRIGUEZ PHARMD

MEDICARE: DIANA J RODRIGUEZ PHARMD
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist68697TX

General Provider Information

NPI Number : 1336872217
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA J RODRIGUEZ PHARMD
Provider Business Mailing Address
First Line : 2400 AVENUE I
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-5830
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2400 AVENUE I
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-5830
Country : US
Telephone Number : 936-437-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2022
Last Update Date : 02/20/2026

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Directions to “ DIANA J RODRIGUEZ PHARMD” Practice Location

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