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Individual

DR. SHANE ERIC HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1117 GOOD HOPE RD SE, WASHINGTON, DC 20020-6905
(202) 876-2901
(202) 876-2903
Mailing address
1117 GOOD HOPE RD SE, WASHINGTON, DC 20020-6905
(202) 876-2901
(202) 876-2903

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22460
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22460
MARYLAND BOARD OF PHARMACY
MD
Enumeration date
07/24/2014
Last updated
12/21/2022
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