Individual
MRS. TAMMY L HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
903 MOORE DR., FLORENCE, CO 81226
(719) 784-5308
Mailing address
17009 EAST STATE HWY 115, FLORENCE, CO 81226
(719) 784-5308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11906
CO
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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