Healthcare Provider Details

I. General information

NPI: 1861465460
Provider Name (Legal Business Name): CURT HUGHES RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3795 KIESEL AVE
OGDEN UT
84405-1601
US

IV. Provider business mailing address

5773 S 2700 W
ROY UT
84067-1346
US

V. Phone/Fax

Practice location:
  • Phone: 801-394-6414
  • Fax:
Mailing address:
  • Phone: 801-394-6414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number128231-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: