Provider Demographics
NPI:1578789970
Name:HUGHES, GERALD P JR (PHARMD)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:P
Last Name:HUGHES
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3719 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-5043
Mailing Address - Country:US
Mailing Address - Phone:504-828-1964
Mailing Address - Fax:504-828-1964
Practice Address - Street 1:2045 HIGHWAY 59
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-1909
Practice Address - Country:US
Practice Address - Phone:985-626-9726
Practice Address - Fax:985-626-7919
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16959183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist