Individual
MR. JASON ROBERT HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
676 UNIVERSITY BLVD S, MOBILE, AL 36609-7866
(800) 486-8792
(800) 486-8078
Mailing address
204 GRANTS WAY, FAIRHOPE, AL 36532-4477
(251) 377-5303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12448
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12448
AL PHARMACIST LICENSE
AL
Enumeration date
01/31/2007
Last updated
11/01/2023
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