Provider Demographics
NPI:1275683559
Name:HODGES, CAROLINE JONES (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:JONES
Last Name:HODGES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4005 STONE SUMMIT LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-5533
Mailing Address - Country:US
Mailing Address - Phone:919-772-1238
Mailing Address - Fax:919-772-0375
Practice Address - Street 1:101 TIMBER POINTE LN
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-2511
Practice Address - Country:US
Practice Address - Phone:919-772-4737
Practice Address - Fax:919-772-0375
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist