Provider Demographics
NPI:1356663173
Name:HOSKINS, DODE ALLEN (RPH)
Entity Type:Individual
Prefix:MR
First Name:DODE
Middle Name:ALLEN
Last Name:HOSKINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19400 COCHRAN BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-2036
Mailing Address - Country:US
Mailing Address - Phone:941-255-5223
Mailing Address - Fax:941-255-1506
Practice Address - Street 1:19400 COCHRAN BLVD
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-2036
Practice Address - Country:US
Practice Address - Phone:941-255-5223
Practice Address - Fax:941-255-1506
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-21
Last Update Date:2010-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0013752183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist