Individual provider · Type 1 NPI

Rae Hodge, RPH

Pharmacist · Lewiston, ID

NPI number 1780960682 Active

Practice location

2102 Nez Perce Dr
Lewiston, ID 83501-4116

Call (208) 743-4434 Map

Fax (208) 743-9422

Mailing address

711 Vista Ave
Lewiston, ID 83501-4626

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP5082 (ID)
Pharmacist 183500000XRPH-0008715 (OR)
Pharmacist 183500000XPH00019210 (WA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1780960682

Rae Hodge, RPH's National Provider Identifier is 1780960682, issued on Oct 24, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lewiston, ID. The record was last updated on Oct 24, 2011.