Provider Demographics
NPI:1639655251
Name:HODGKINS, SETH CHAMBERLIN (PHARM D)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:CHAMBERLIN
Last Name:HODGKINS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 LUDLOW RD
Mailing Address - Street 2:
Mailing Address - City:HOULTON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-3562
Mailing Address - Country:US
Mailing Address - Phone:207-532-2213
Mailing Address - Fax:207-532-1062
Practice Address - Street 1:17 LUDLOW RD
Practice Address - Street 2:
Practice Address - City:HOULTON
Practice Address - State:ME
Practice Address - Zip Code:04730-3524
Practice Address - Country:US
Practice Address - Phone:207-532-2213
Practice Address - Fax:207-532-1062
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-17
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5025183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist