Provider Demographics
NPI:1477038198
Name:HUGHES, CRISTA (PHARMD)
Entity Type:Individual
Prefix:
First Name:CRISTA
Middle Name:
Last Name:HUGHES
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 1:3220 MOSELEY DR APT B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-4303
Mailing Address - Country:US
Mailing Address - Phone:954-899-6522
Mailing Address - Fax:
Practice Address - Street 1:140 NC 102 W
Practice Address - Street 2:
Practice Address - City:AYDEN
Practice Address - State:NC
Practice Address - Zip Code:28513-8792
Practice Address - Country:US
Practice Address - Phone:252-746-3026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28058183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist