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NPI 1902248461

NPI 1902248461 : ALEXANDRIA HUGHES PHARMD : BOISE, ID

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General NPI Number Information
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    NPI Number           |    1902248461
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXANDRIA HUGHES PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/25/2013
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    Last Update Date     |    01/16/2024
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Provider Practice Location Address
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    Address Line         |    286 N MAPLE GROVE RD 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83704-8239
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    Country              |    US
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    Telephone            |    208-447-9053
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    795 E BISSETT ST 
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    City                 |    MERIDIAN
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    State                |    ID
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    Zip                  |    83642-2567
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    P6835
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    License Number State |    ID
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