Individual
MARK HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2120 S ROAN ST STE 100, JOHNSON CITY, TN 37601-7675
(423) 979-0370
(423) 979-0372
Mailing address
2120 S ROAN ST STE 100, JOHNSON CITY, TN 37601-7675
(423) 979-0370
(423) 979-0372
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6231
TN
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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