Provider Demographics
NPI:1366039620
Name:HUDGINS, MORGAN HALEIGH (PHARMD)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:HALEIGH
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 1:803 BELLMARA CIR
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72718-5018
Mailing Address - Country:US
Mailing Address - Phone:870-540-9107
Mailing Address - Fax:
Practice Address - Street 1:1209 N WALTON BLVD
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4130
Practice Address - Country:US
Practice Address - Phone:479-273-5541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD13295183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty