Provider Demographics
NPI:1932550282
Name:HUGHES, DAWN (PHARMD)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5244 N MITCHUM AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-0006
Mailing Address - Country:US
Mailing Address - Phone:208-288-1496
Mailing Address - Fax:208-288-1812
Practice Address - Street 1:2790 W CHERRY LN STE 100
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642
Practice Address - Country:US
Practice Address - Phone:208-288-1496
Practice Address - Fax:208-288-1812
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK112353183500000X
IDP7690183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist