Healthcare Provider Details

I. General information

NPI: 1881313617
Provider Name (Legal Business Name): ASHLEY NICOLE HODGINS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7084 MILLER RD
SWARTZ CREEK MI
48473-1527
US

IV. Provider business mailing address

7084 MILLER RD
SWARTZ CREEK MI
48473-1527
US

V. Phone/Fax

Practice location:
  • Phone: 810-630-0585
  • Fax: 810-630-1585
Mailing address:
  • Phone: 810-630-0585
  • Fax: 810-630-1535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5302414578
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: