Individual
STEPHANIE CARROLL HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1309 HIGHWAY 35 S, FOREST, MS 39074-5010
(601) 469-2190
Mailing address
1309 HIGHWAY 35 S, FOREST, MS 39074-5010
(601) 469-2190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E13924
MS
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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