Provider Demographics
NPI:1396043246
Name:HODGES, ROBERT INMAN (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:INMAN
Last Name:HODGES
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 1:500 MERCANTILE PLACE
Mailing Address - Street 2:PHARMACY
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715
Mailing Address - Country:US
Mailing Address - Phone:803-547-0585
Mailing Address - Fax:803-547-0524
Practice Address - Street 1:500 MERCANTILE PLACE
Practice Address - Street 2:PHARMACY
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715
Practice Address - Country:US
Practice Address - Phone:803-547-0585
Practice Address - Fax:803-547-0524
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-02
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist