Individual
SCOTT DAVID HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7722 W STATE ROUTE 66, NEWBURGH, IN 47630-2529
(812) 853-6166
Mailing address
2065 LONG COVE CIR, NEWBURGH, IN 47630-8413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019824A
IN
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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