Individual provider · Type 1 NPI

Roda Vannessa Custodio, PharmD

Pharmacist · Long Beach, CA

NPI number 1750702858 Active

Practice location

5901 E 7th St
Long Beach, CA 90822-5201

Mailing address

1733 N Rutherford St
Anaheim, CA 92806-1141

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X69447 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1750702858

Roda Vannessa Custodio, PharmD's National Provider Identifier is 1750702858, issued on Dec 17, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Long Beach, CA. The record was last updated on Aug 28, 2014.