Individual
ANDREW MICHEAL DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
865 S COLLEGE AVE, RENSSELAER, IN 47978-3055
(219) 886-4156
Mailing address
865 S COLLEGE AVE, RENSSELAER, IN 47978-3055
(219) 886-4156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027791A
IN
Other
Enumeration date
06/18/2020
Last updated
07/17/2022
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