Individual
CELIA HODROGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4539 TEAYS VALLEY RD, SCOTT DEPOT, WV 25560-7806
(304) 201-1630
(304) 201-1635
Mailing address
4539 TEAYS VALLEY RD, SCOTT DEPOT, WV 25560-7806
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0008710
WV
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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