Organization
HODGINS DRUG STORE, INC.
Active
Parent organization
HODGINS DRUG INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HODGINS DRUG INC
Authorized official
MRS. PAM HAYS (PRESIDENT)
(208) 882-5536
Entity
Organization
Contact information
Practice address
307 S MAIN ST, MOSCOW, ID 83843-2913
(208) 882-5536
(208) 882-4741
Mailing address
307 S MAIN ST, MOSCOW, ID 83843-2913
(208) 882-5536
(208) 882-4741
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
065CP
ID
332S00000X
Hearing Aid Equipment
H244
ID
333600000X
Pharmacy
Primary
065CP
ID
335E00000X
Prosthetic/Orthotic Supplier
065CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010014112
REGENCE BLUE SHIELD DME
ID
05
—
002302500
—
ID
05
—
6013833
—
WA
01
—
70011
BLUE CROSS OF IDAHO RX
ID
05
—
805459300
—
ID
Enumeration date
05/27/2005
Last updated
09/24/2024
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