Individual
ELIZABETH DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4835 KIETZKE LN, RENO, NV 89509-6549
(775) 829-7922
(775) 829-8202
Mailing address
4835 KIETZKE LN, RENO, NV 89509-6549
(775) 829-7922
(775) 829-8202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16765
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16765
PHARMACIST OF NEVADA LICENSE NUMBER
NV
Enumeration date
01/28/2014
Last updated
01/28/2014
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