Provider Demographics
NPI:1386773737
Name:HUBBARD, JOSEPH HENRY (RPH, PHARMD, BCPS)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:HENRY
Last Name:HUBBARD
Suffix:
Gender:M
Credentials:RPH, PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 EBLING DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-8112
Mailing Address - Country:US
Mailing Address - Phone:775-750-7767
Mailing Address - Fax:
Practice Address - Street 1:HIGHWAY 86 AT TOPAWA RD
Practice Address - Street 2:TOHONO O'ODHAM NATION HEALTH CARE
Practice Address - City:SELLS
Practice Address - State:AZ
Practice Address - Zip Code:85634
Practice Address - Country:US
Practice Address - Phone:775-750-7767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV166221835P1200X
NMRP48661835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy