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Individual

JEFFREY E HODGSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2336 RIDGE CT, STE C, LAWRENCE, KS 66046-3983
(785) 841-1950
(785) 841-1051
Mailing address
1121 SUMMERFIELD WAY, LAWRENCE, KS 66049-8511
(785) 843-3268

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13251
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-13251
STATE PHARMACY LICENSE
KS
Enumeration date
08/17/2006
Last updated
07/08/2007
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