Provider Demographics
NPI:1316987951
Name:HARDY, HUGH DAN JR (RPH)
Entity type:Individual
Prefix:MR
First Name:HUGH
Middle Name:DAN
Last Name:HARDY
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
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Mailing Address - Street 1:PO BOX 6726
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27628-6726
Mailing Address - Country:US
Mailing Address - Phone:919-835-0457
Mailing Address - Fax:919-835-0459
Practice Address - Street 1:1801 GLENWOOD AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27608-2344
Practice Address - Country:US
Practice Address - Phone:919-835-0457
Practice Address - Fax:919-835-0459
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC8102183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist