RAE HODGE

LEWISTON, ID
NPI1780960682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  p5082)
Additional Taxonomies183500000X Pharmacist
(Licence: OR  RPH-0008715)
183500000X Pharmacist
(Licence: WA  PH00019210)
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
-- RAE HODGE RPh
2102 NEZ PERCE DR
LEWISTON, ID 83501-4116
Phone number: 208-743-4434
Mailing Address
-- RAE HODGE RPh
711 VISTA AVE
LEWISTON, ID 83501-4626
Phone number: 208-305-8119