MEDICARE: HANNAH YANDLE HODGE PHARMD

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
1	183500000X	Pharmacist	37772	SC

General Provider Information

NPI Number	:	1821568833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH YANDLE HODGE PHARMD

Provider Business Mailing Address
First Line	:	1021 EBBTIDE LN
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29170-2274
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1856 S LAKE DR STE K
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29073-7225
Country	:	US
Telephone Number	:	803-399-7701
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2018
Last Update Date	:	01/12/2026

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