Provider Demographics
NPI:1093029548
Name:HUDSON, ELIZABETH WESTBROOK (PHARMD, CPP, BCACP)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:WESTBROOK
Last Name:HUDSON
Suffix:
Gender:F
Credentials:PHARMD, CPP, BCACP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANNE
Other - Last Name:WESTBROOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:550 EUGENE JERNIGAN RD
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-7244
Mailing Address - Country:US
Mailing Address - Phone:910-990-3703
Mailing Address - Fax:
Practice Address - Street 1:101 ROBESON ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5552
Practice Address - Country:US
Practice Address - Phone:910-615-1821
Practice Address - Fax:910-615-1636
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC211121835P2201X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist