Provider Demographics
NPI:1487283545
Name:HOEHN, FELICIA (PHARMD)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:HOEHN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-1105
Mailing Address - Country:US
Mailing Address - Phone:812-972-1526
Mailing Address - Fax:
Practice Address - Street 1:115 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-1105
Practice Address - Country:US
Practice Address - Phone:812-738-3272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025714A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist