Healthcare Provider Details

I. General information

NPI: 1902719131
Provider Name (Legal Business Name): HUGHES JEFFREY BAILEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 BLACKWEASEL RD
BROWNING MT
59417
US

IV. Provider business mailing address

PO BOX 153
EAST GLACIER PARK MT
59434-0153
US

V. Phone/Fax

Practice location:
  • Phone: 406-338-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number258941
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: