Provider Demographics
NPI:1386921179
Name:HUGHES, JEFFREY B (BS PHARM)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:B
Last Name:HUGHES
Suffix:
Gender:M
Credentials:BS PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 HOLCOMB BRIDGE RD
Mailing Address - Street 2:TARGET STORE 2443
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5305
Mailing Address - Country:US
Mailing Address - Phone:678-775-7621
Mailing Address - Fax:
Practice Address - Street 1:2600 HOLCOMB BRIDGE RD
Practice Address - Street 2:TARGET STORE 2443
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-5305
Practice Address - Country:US
Practice Address - Phone:678-775-7621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH014989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist