Individual
MRS. SHELLY GAIL HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 21ST ST, NITRO, WV 25143-1740
(304) 755-0128
(304) 204-2223
Mailing address
18 WINDSONG WAY, NITRO, WV 25143-1138
(304) 776-5329
(304) 204-2223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5122
WV
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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