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Hodgins Drug Store, Inc.
Prosthetic/Orthotic Supplier in Moscow, Idaho
NPI 1558364141

Hodgins Drug Store, Inc. is a Prosthetic/Orthotic Supplier based in Moscow, ID. Hodgins Drug Store, Inc. practices in Moscow, ID. The NPI Number for Hodgins Drug Store, Inc. is 1558364141 and holds a License No. 065CP (Idaho).

The current practice location address for Hodgins Drug Store, Inc. is 307 S Main St, Moscow, ID and can be reached out via phone at 208-882-5536 and via fax at 208-882-4741.

Location: 307 S Main St, Moscow, ID, 83843-2913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558364141
Provider Name
Hodgins Drug Store, Inc.
Credential
Provider Entity Type
Organization
Address
307 S Main St, Moscow, ID, 83843-2913
Phone Number
208-882-5536
Fax Number
208-882-4741
Provider Enumeration Date
05/27/2005
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6013833 05 WA
70011 01 ID BLUE CROSS OF IDAHO RX
002302500 05 ID
000010014112 01 ID REGENCE BLUE SHIELD DME
805459300 05 ID
institution
Provider Business Practice Location Address Details
Address
307 S Main St
City
Moscow
State
Idaho
Zip
83843-2913
Phone Number
208-882-5536
Fax Number
208-882-4741
person
Provider Business Mailing Address Details
Address
307 S Main St
City
Moscow
State
Idaho
Zip
83843-2913
Phone Number
208-882-5536
Fax Number
208-882-4741
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
065CP (Idaho)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Hearing Aid Equipment
Speciality
-
Taxonomy
332S00000X
License No.
065CP (Idaho)
Definition
The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
H244 (Idaho)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
065CP (Idaho)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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