Provider Demographics
NPI:1881922763
Name:HODGES, ANNAH DANIELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANNAH
Middle Name:DANIELLE
Last Name:HODGES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6205 FM 2770
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-8935
Mailing Address - Country:US
Mailing Address - Phone:512-268-2040
Mailing Address - Fax:512-268-2539
Practice Address - Street 1:6205 FM 2770
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-8935
Practice Address - Country:US
Practice Address - Phone:512-268-2040
Practice Address - Fax:512-268-2539
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44425183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist