Provider Demographics
NPI:1972169282
Name:HUGHES PHARMACY SERVICES INC.
Entity type:Organization
Organization Name:HUGHES PHARMACY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:HOYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:712-852-2886
Mailing Address - Street 1:2216 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EMMETSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:50536-2447
Mailing Address - Country:US
Mailing Address - Phone:712-852-2886
Mailing Address - Fax:
Practice Address - Street 1:105 SOUTH BROADWAY AVENUE
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:IA
Practice Address - Zip Code:50597
Practice Address - Country:US
Practice Address - Phone:712-298-0449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUGHES PHARMACY SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA5060OtherPHARMACY LICENSE