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NPI Code Detail

MEDICARE: DIANA M RODRIGUEZ-LOPEZ RPH

MEDICARE: DIANA M RODRIGUEZ-LOPEZ 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
1183500000XPharmacist29355TX

General Provider Information

NPI Number : 1962137182
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA M RODRIGUEZ-LOPEZ RPH
Provider Business Mailing Address
First Line : 5615 SANFORD RD
Second Line :
City : HOUSTON
State : TX
Zip : 77096-6141
Country : US
Telephone Number : 713-501-2047
Fax Number :
Provider Business Practice Location Address
First Line : 8635 LONG POINT RD STE C
Second Line :
City : HOUSTON
State : TX
Zip : 77055-3037
Country : US
Telephone Number : 713-492-2679
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2022
Last Update Date : 07/21/2022

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Directions to “ DIANA M RODRIGUEZ-LOPEZ RPH” Practice Location

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