Provider Demographics
NPI:1386985752
Name:RODRIGUEZ, STEVE ALEXANDER (BS PHARM)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:ALEXANDER
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:BS PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 S MCCOLL RD
Mailing Address - Street 2:ATTN: PHARMACY DEPARTMENT
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9152
Mailing Address - Country:US
Mailing Address - Phone:956-362-5190
Mailing Address - Fax:956-362-5192
Practice Address - Street 1:5501 S MCCOLL RD
Practice Address - Street 2:ATTN: PHARMACY DEPARTMENT
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9152
Practice Address - Country:US
Practice Address - Phone:956-362-5190
Practice Address - Fax:956-362-5192
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX365511835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist