Healthcare Provider Details
I. General information
NPI: 1942379367
Provider Name (Legal Business Name): HUGHES PHARMACY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2006
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2216 MAIN ST BOX 166
EMMETSBURG IA
50536-2447
US
IV. Provider business mailing address
2216 MAIN ST BOX 166
EMMETSBURG IA
50536-2447
US
V. Phone/Fax
- Phone: 712-852-2886
- Fax: 712-852-2534
- Phone: 712-852-2886
- Fax: 712-852-2534
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 649 |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
GREGORY
CHARLES
HOYMAN
Title or Position: PHARMACIST
Credential: R.PH.
Phone: 712-852-2886