Provider Demographics
NPI:1396723672
Name:HODGKINS, BRIAN D (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:D
Last Name:HODGKINS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 CHAMPAGNE CIR
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-2741
Mailing Address - Country:US
Mailing Address - Phone:760-323-6228
Mailing Address - Fax:760-323-6843
Practice Address - Street 1:36 CHAMPAGNE CIR
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-2741
Practice Address - Country:US
Practice Address - Phone:760-323-6228
Practice Address - Fax:760-323-6843
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA418531835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy