Provider Demographics
NPI:1063712388
Name:HUGHES, ROB ALAN (RPH)
Entity type:Individual
Prefix:MR
First Name:ROB
Middle Name:ALAN
Last Name:HUGHES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1758 FRONT ST
Mailing Address - Street 2:STE 106
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-1246
Mailing Address - Country:US
Mailing Address - Phone:360-354-1226
Mailing Address - Fax:360-354-6561
Practice Address - Street 1:1758 FRONT ST
Practice Address - Street 2:STE 106
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-1246
Practice Address - Country:US
Practice Address - Phone:360-354-1226
Practice Address - Fax:360-354-6561
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2016-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00017729183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist