Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN RODERICK, PHARMD
Active Sole ProprietorDR. JUSTIN RODERICK, PHARMD is a Long-Term Care Pharmacy healthcare provider located in DES MOINES, Washington. NPI 1174211015 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · DES MOINES, WA
Registration Details
- NPI Number
- 1174211015
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2023 (3.3094871068935 yrs)
- Last Updated
- Apr 27, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
21202 24TH AVE SDES MOINES, WA, 981984328Browse WA providers · Browse ZIP 98198
- Phone
- 2067671347
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.