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1669575601
BRADLEY HODGE
FAYETTEVILLE, AR
NPI
1669575601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AR 008012)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
DR. BRADLEY HODGE PHARM.D.
1100 N COLLEGE AVE V.A. MEDICAL CENTER PHARMACY (119)
FAYETTEVILLE, AR 72703-1944
Phone number: 479-443-4301
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Mailing Address
DR. BRADLEY HODGE PHARM.D.
6112 DANCING RABBIT DR
SPRINGDALE, AR 72762-6133
Phone number: 479-443-4301
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