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1912594201
LISA LONG HODGE
DURHAM, NC
NPI
1912594201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 13522)
Enumeration Date
2020-12-21
Last Update Date
2020-12-21
Business Address
Mrs. LISA LONG HODGE RPh
213 W MAIN ST
DURHAM, NC 27701-3257
Phone number: 919-688-1368
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Mailing Address
Mrs. LISA LONG HODGE RPh
8308 EDEN PARK DR
RALEIGH, NC 27613-8602
Phone number: 919-624-7333
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