Provider Demographics
NPI:1407450190
Name:HUDSON, MARGARET HELEN (RPH)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:HELEN
Last Name:HUDSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 HEALTHWEST DR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-2054
Mailing Address - Country:US
Mailing Address - Phone:334-479-0541
Mailing Address - Fax:334-479-0586
Practice Address - Street 1:408 HEALTHWEST DR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-2054
Practice Address - Country:US
Practice Address - Phone:334-479-0541
Practice Address - Fax:334-479-0586
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13309183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL13309OtherAL BOARD OF PHARMACY