Individual
DR. ETHAN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
122 12TH ST, PRINCETON, WV 24740-2312
(304) 487-7000
Mailing address
122 12TH ST, PRINCETON, WV 24740-2312
(304) 487-7000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212515
VA
183500000X
Pharmacist
RP0008219
WV
Other
Enumeration date
08/27/2010
Last updated
11/18/2024
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