MEDICARE: MR. DARREL W HUGHES PHARM.D., BCPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	44489	TX
2	1835P1200X	Pharmacotherapy Pharmacist	44489	TX

General Provider Information

NPI Number	:	1902121163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DARREL W HUGHES PHARM.D., BCPS

Provider Business Mailing Address
First Line	:	3851 ROGER BROOKE DR
Second Line	:	MCHE-QD (CREDS)
City	:	FORT SAM HOUSTON
State	:	TX
Zip	:	78234-4501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1118 MOUNT RAINIER
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-2050
Country	:	US
Telephone Number	:	512-431-8425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2010
Last Update Date	:	03/31/2010

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