Provider Demographics
NPI:1144497041
Name:WAITE, RODNEY CARSON II (RPH, PHARMD)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:CARSON
Last Name:WAITE
Suffix:II
Gender:M
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 E MANHATTAN BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-1471
Mailing Address - Country:US
Mailing Address - Phone:419-729-2907
Mailing Address - Fax:419-729-2834
Practice Address - Street 1:810 E MANHATTAN BLVD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-1471
Practice Address - Country:US
Practice Address - Phone:419-729-2907
Practice Address - Fax:419-729-2834
Is Sole Proprietor?:No
Enumeration Date:2008-05-11
Last Update Date:2008-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-28029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist