Provider Demographics
NPI:1205195583
Name:HUBBS, ELIZABETH ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:HUBBS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 182
Mailing Address - Street 2:
Mailing Address - City:HARLAN
Mailing Address - State:KY
Mailing Address - Zip Code:40831-0182
Mailing Address - Country:US
Mailing Address - Phone:606-573-2939
Mailing Address - Fax:
Practice Address - Street 1:261 HWY 990
Practice Address - Street 2:
Practice Address - City:COALGOOD
Practice Address - State:KY
Practice Address - Zip Code:40818
Practice Address - Country:US
Practice Address - Phone:606-273-1305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012952183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist