Dodge, Samantha

Dodge, Samantha is an sole proprietor health care provider with primary practice located at 490 N 2Nd E , Mountain Home ID 83647-2729. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Dodge, Samantha can be contacted via phone (208) 587-3346.

Contact Information

Primary practice address
490 N 2Nd E Mountain Home ID 83647-2729
Phone: (208) 587-3346
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P7283 Idaho

Profile Details

NPI number 1952774481
LBN Legal business name Dodge, Samantha
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2015
Last updated Nov 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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