Individual
MARSHA DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 LAMPLIGHTER LN, KOKOMO, IN 46902-8124
(765) 437-7014
Mailing address
3010 LAMPLIGHTER LN, KOKOMO, IN 46902-8124
(765) 437-7014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26015488A
IN
183500000X
Pharmacist
PH-2899
HI
183500000X
Pharmacist
Primary
S016988
AZ
Other
Enumeration date
04/26/2015
Last updated
01/05/2016
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