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NPI Code Detail

MEDICARE: AMARYLLIS RODRIGUEZ

MEDICARE:   AMARYLLIS  RODRIGUEZ
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
1183500000XPharmacistPS61232FL

General Provider Information

NPI Number : 1952025108
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMARYLLIS RODRIGUEZ
Provider Business Mailing Address
First Line : 7534 LAKE WORTH RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-2533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7534 LAKE WORTH RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-2533
Country : US
Telephone Number : 561-964-1363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2022
Last Update Date : 09/30/2022

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Directions to “ AMARYLLIS RODRIGUEZ ” Practice Location

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