Provider Demographics
NPI:1538442413
Name:HUGHES, DEBBRA ANN (BS PHARM)
Entity type:Individual
Prefix:MRS
First Name:DEBBRA
Middle Name:ANN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:BS PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 BURNT HICKORY WAY
Mailing Address - Street 2:
Mailing Address - City:FORTSON
Mailing Address - State:GA
Mailing Address - Zip Code:31808-4472
Mailing Address - Country:US
Mailing Address - Phone:706-332-7378
Mailing Address - Fax:
Practice Address - Street 1:5707 VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-9003
Practice Address - Country:US
Practice Address - Phone:706-322-6253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH020183183500000X
AL020183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist