Healthcare Provider Details

I. General information

NPI: 1114859048
Provider Name (Legal Business Name): BRIAN M HUGGINS PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 UNION AVE
MEMPHIS TN
38104-3415
US

IV. Provider business mailing address

25 S MCLEAN BLVD APT 16
MEMPHIS TN
38104-3933
US

V. Phone/Fax

Practice location:
  • Phone: 901-478-2190
  • Fax:
Mailing address:
  • Phone: 901-478-2190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48288
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: