Healthcare Provider Details

I. General information

NPI: 1669554309
Provider Name (Legal Business Name): JEFFREY HUFF RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TRILLIUM WAY
CORBIN KY
40701-8426
US

IV. Provider business mailing address

85 CANYON DR
LONDON KY
40741-7829
US

V. Phone/Fax

Practice location:
  • Phone: 606-528-1212
  • Fax: 606-526-8338
Mailing address:
  • Phone: 606-878-5997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11282
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: