Individual
JOAN ELLEN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
312 N 2ND ST, WAPELLO, IA 52653-1204
(319) 523-3784
(319) 523-3299
Mailing address
428 S 6TH ST, P.O. BOX 306, WAPELLO, IA 52653-1445
(319) 523-8454
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15029
IA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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