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NPI Code Detail

MEDICARE: KODJOVI A HOENOU RPH

MEDICARE:   KODJOVI A HOENOU  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy1542246NE

General Provider Information

NPI Number : 1801422423
Entity Type Code : Individual
Provider Name (Legal Business Name) : KODJOVI A HOENOU RPH
Provider Business Mailing Address
First Line : 1145 OHIO ST
Second Line :
City : FREMONT
State : NE
Zip : 68025-2127
Country : US
Telephone Number : 402-601-6565
Fax Number :
Provider Business Practice Location Address
First Line : 14460 W MAPLE RD
Second Line :
City : OMAHA
State : NE
Zip : 68116-5163
Country : US
Telephone Number : 402-493-0443
Fax Number : 402-493-0970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2020
Last Update Date : 02/03/2026

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Directions to “ KODJOVI A HOENOU RPH” Practice Location

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