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NPI Code Detail

MEDICARE: CESAR A RODRIGUEZ-BRAHAM PHARMD

MEDICARE: CESAR A RODRIGUEZ-BRAHAM 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
1183500000XPharmacistRPH-0014908OR
21835P1200XPharmacotherapy PharmacistPHA.1121142CO

General Provider Information

NPI Number : 1891164364
Entity Type Code : Individual
Provider Name (Legal Business Name) : CESAR A RODRIGUEZ-BRAHAM PHARMD
Provider Business Mailing Address
First Line : 203 S ROLLIE AVE
Second Line :
City : FORT LUPTON
State : CO
Zip : 80621-1508
Country : US
Telephone Number : 303-697-2583
Fax Number :
Provider Business Practice Location Address
First Line : 1635 BLUE SPRUCE DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-5427
Country : US
Telephone Number : 303-697-2583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2015
Last Update Date : 02/23/2026

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Directions to “ CESAR A RODRIGUEZ-BRAHAM PHARMD” Practice Location

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