Individual
REBECCA DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4611 E SHEA BLVD STE 180, PHOENIX, AZ 85028-4258
(612) 720-2684
Mailing address
13714 W SARANO TER, LITCHFIELD PARK, AZ 85340-4241
(612) 720-2684
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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