Provider Demographics
NPI:1396389425
Name:WESTON, HUGH JOHN (RPH)
Entity Type:Individual
Prefix:MR
First Name:HUGH
Middle Name:JOHN
Last Name:WESTON
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 1:1998 S ROLLING MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46391-3400
Mailing Address - Country:US
Mailing Address - Phone:219-575-1248
Mailing Address - Fax:
Practice Address - Street 1:607 E TALMER AVE
Practice Address - Street 2:
Practice Address - City:NORTH JUDSON
Practice Address - State:IN
Practice Address - Zip Code:46366-1457
Practice Address - Country:US
Practice Address - Phone:574-896-3111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26016807A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist