MEDICARE: ALDO RODRIGUEZ RPH

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
1	183500000X	Pharmacist	14736	NV

General Provider Information

NPI Number	:	1952901811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALDO RODRIGUEZ RPH

Provider Business Mailing Address
First Line	:	5850 W CRAIG RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-2558
Country	:	US
Telephone Number	:	702-395-1240
Fax Number	:	702-395-5370

Provider Business Practice Location Address
First Line	:	5850 W CRAIG RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-2558
Country	:	US
Telephone Number	:	702-395-1240
Fax Number	:	702-395-5370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2020
Last Update Date	:	10/29/2020

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Directions to “ ALDO RODRIGUEZ RPH” Practice Location

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