Healthcare Provider Details

I. General information

NPI: 1053643502
Provider Name (Legal Business Name): KEITH HUFF MS, PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2010
Last Update Date: 02/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 W PLANTATION ROW
GREENFIELD IN
46140-8153
US

IV. Provider business mailing address

1702 W PLANTATION ROW
GREENFIELD IN
46140-8153
US

V. Phone/Fax

Practice location:
  • Phone: 317-326-7347
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26022646A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: