Individual
JOHN RICH HOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1295 PARKWAY DR, BLACKFOOT, ID 83221-1683
(208) 785-3106
Mailing address
1295 PARKWAY DR, BLACKFOOT, ID 83221-1683
(208) 785-3106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P-4377
ID
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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