Provider Demographics
NPI:1205816121
Name:HUDGINS, GAYLE ANNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:ANNE
Last Name:HUDGINS
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:SCHOOL OF PHARMACY
Mailing Address - Street 2:UNIVERSITY OF MONTANA
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59812-1522
Mailing Address - Country:US
Mailing Address - Phone:406-243-6495
Mailing Address - Fax:406-243-4353
Practice Address - Street 1:UNIVERSITY OF MONTANA
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59812-0001
Practice Address - Country:US
Practice Address - Phone:406-243-4016
Practice Address - Fax:406-243-2795
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2688183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist