Provider Demographics
NPI:1295489573
Name:HODGES, BONNE CHERIE (RPH)
Entity type:Individual
Prefix:
First Name:BONNE
Middle Name:CHERIE
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 1:2210 COUNTY ROAD 111
Mailing Address - Street 2:
Mailing Address - City:LAMPASAS
Mailing Address - State:TX
Mailing Address - Zip Code:76550-9766
Mailing Address - Country:US
Mailing Address - Phone:956-227-5929
Mailing Address - Fax:
Practice Address - Street 1:401 W WALLACE ST
Practice Address - Street 2:
Practice Address - City:SAN SABA
Practice Address - State:TX
Practice Address - Zip Code:76877-4433
Practice Address - Country:US
Practice Address - Phone:325-372-3033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33035183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist