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NPI Code Detail

MEDICARE: MR. RODNEY CHRISTAL R.PH.

MEDICARE: MR. RODNEY CHRISTAL R.PH.
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
1183500000XPharmacist31742TX

General Provider Information

NPI Number : 1912290222
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RODNEY CHRISTAL R.PH.
Provider Business Mailing Address
First Line : 6205 WESTCREEK DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-4319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6205 WESTCREEK DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-4319
Country : US
Telephone Number : 817-263-0962
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2011
Last Update Date : 05/18/2011

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Directions to “ MR. RODNEY CHRISTAL R.PH.” Practice Location

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