Provider Demographics
NPI:1306256979
Name:HUGHES, KAYLA JO (PHARMD, BCPS)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:JO
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 8TH AVE NE STE 225
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-3253
Mailing Address - Country:US
Mailing Address - Phone:605-229-3500
Mailing Address - Fax:605-229-3505
Practice Address - Street 1:2301 8TH AVE NE STE 225
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401
Practice Address - Country:US
Practice Address - Phone:605-229-3500
Practice Address - Fax:605-229-3505
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-05
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD60711835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist