Provider Demographics
NPI:1386972586
Name:HODGSON, NANCY WAFF (RPH)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:WAFF
Last Name:HODGSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 W DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-6696
Mailing Address - Country:US
Mailing Address - Phone:919-639-3056
Mailing Address - Fax:919-639-3079
Practice Address - Street 1:116 W DEPOT ST
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-6696
Practice Address - Country:US
Practice Address - Phone:919-639-3056
Practice Address - Fax:919-639-3079
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-27
Last Update Date:2009-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12335183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist