Provider Demographics
NPI:1124369699
Name:HUNT, JEFFREY L (RPH)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:L
Last Name:HUNT
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 1:13911 NINE EAGLES DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-3004
Mailing Address - Country:US
Mailing Address - Phone:813-814-4285
Mailing Address - Fax:813-855-0257
Practice Address - Street 1:13911 NINE EAGLES DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-3004
Practice Address - Country:US
Practice Address - Phone:813-814-4285
Practice Address - Fax:813-855-0257
Is Sole Proprietor?:No
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22663183500000X
KY9375183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist