Provider Demographics
NPI:1538361324
Name:HUGHES, KENNETH LEE (RPH)
Entity type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:LEE
Last Name:HUGHES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4061F BELLAIRE BLVD
Mailing Address - Street 2:GREENPARK COMPOUNDING PHARMACY
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1121
Mailing Address - Country:US
Mailing Address - Phone:713-432-9855
Mailing Address - Fax:
Practice Address - Street 1:4061F BELLAIRE BLVD
Practice Address - Street 2:GREENPARK COMPOUNDING PHARMACY
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1121
Practice Address - Country:US
Practice Address - Phone:713-432-9855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22586183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist