Rae Hodge, RPH

NPI #1780960682 in Lewiston, Idaho

Provider Information

NPI Number: 1780960682
Entity Type: Individual
Name: Rae Hodge, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 24, 2011
Last Updated: Oct 24, 2011

Practice Location

Address: 2102 NEZ PERCE DR
City: Lewiston
State: Idaho
ZIP Code: 83501-4116
Phone: (208) 743-4434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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